TOTAL RENAL CARE, INC (NPI# 1144653692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144653692 |
Entity Type | Organization |
Organization Name | TOTAL RENAL CARE, INC |
Other Organization Name | PORTLAND GATEWAY DIALYSIS |
Practice Address |
9932 Ne Halsey St Portland OR 97220-4495 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 5032538170 |
Practice Fax Number | 5032538573 |
Mailing Telephone | 6153416814 |
Mailing Fax Number | 8002938405 |
Enumeration Date | 2013-08-19 |
Last Update Date | 2020-06-17 |
Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Portland Gateway Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922649938 | Total Renal Care, Inc | Clinic/Center | 1601 Raiders Way, Oxnard, CA 93033-5620 | 2019-10-01 |
1063980969 | Total Renal Care, Inc | Clinic/Center | 8021 Philips Hwy Ste 15, Jacksonville, FL 32256-4452 | 2018-11-08 |
1487108668 | Total Renal Care, Inc | Clinic/Center | 1221 Briarville Rd, Madison, TN 37115-5145 | 2016-08-05 |
1275941718 | Total Renal Care, Inc | Clinic/Center | 4530 S. Hagadorn Rd., Suite A, East Lansing, MI 48823-5304 | 2014-07-29 |
1063475150 | Total Renal Care, Inc | Clinic/Center | 650 Circle Dr S, Rec Dept-a, Los Angeles, CA 90095-8347 | 2006-04-10 |
1508495763 | Total Renal Care, Inc | Clinic/Center | 57 Town Ct Ste 118, Palm Coast, FL 32164-2425 | 2020-04-08 |
1841648656 | Total Renal Care, Inc | Clinic/Center | 5200 Virginia Way, L&c Dept, Brentwood, TN 37027-7569 | 2016-06-02 |
1780054478 | Total Renal Care, Inc | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2015-10-07 |
1023424694 | Total Renal Care, Inc | Clinic/Center | 1215 Dunn Ave, Ste 8, Jacksonville, FL 32218-4897 | 2014-07-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | TOTAL RENAL CARE, INC. | 15271 Laguna Canyon Rd, Irvine, CA 92618-3146 |
Oklahoma Business Registrations | TOTAL RENAL CARE, INC. | 21250 Hawthorne Blvd Ste 800, Torrence, CA 90503 |
Oregon Corporations, Companies and Business Names | TOTAL RENAL CARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
Washington State Corporations | TOTAL RENAL CARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
Street Address |
9932 NE HALSEY ST |
City | PORTLAND |
State | OR |
Zip Code | 97220-4495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033112636 | Oregon Pedorthic Services | Prosthetic/Orthotic Supplier | 9932 Ne Halsey St, Portland, OR 97220-4474 | 2005-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
Find all providers in zip 97220 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922522432 | Garson Dialysis, LLC | Clinic/Center | 6828 Se Foster Rd, Portland, OR 97206-4546 | 2017-07-27 |
1407378532 | Rose City Dialysis LLC | Clinic/Center | 7474 Ne M L King Blvd, Portland, OR 97211-2828 | 2017-07-11 |
1215397534 | Rose City Dialysis, LLC | Clinic/Center | 4905 Ne Ml King Blvd, Portland, OR 97211-3353 | 2016-02-29 |
1770980401 | Total Renal Care Inc | Clinic/Center | 2737 Ne Martin Luther King Jr Blvd, Portland, OR 97212-3037 | 2014-11-24 |
1932532157 | Rose City Dialysis, LLC | Clinic/Center | 10300 Sw Nimbus Ave Ste Pa, Portland, OR 97223-4345 | 2013-08-12 |
1023367893 | Rose City Dialysis LLC | Clinic/Center | 11909 Ne Glenn Widing Dr, Portland, OR 97220-9099 | 2012-09-07 |
1629180443 | Dialysis Associates, LLC | Clinic/Center | 923 S Broadway, Portland, TN 37148-1691 | 2006-08-31 |
1083726988 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 2701 Nw Vaughn St Ste 150, Portland, OR 97210-5379 | 2006-08-31 |
1891807798 | Pacific Northwest Renal Services, L.L.C. | Clinic/Center | 4905 Ne Martin Luther King Blvd., Portland, OR 97211-0000 | 2006-08-31 |
1982620969 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 1600 Congress Street, Portland, ME 04102 | 2006-07-14 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.