TOTAL RENAL CARE OF NORTH CAROLINA LLC (NPI# 1639671357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639671357 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE OF NORTH CAROLINA LLC |
| Other Organization Name | HICKORY RIDGE DIALYSIS |
| Practice Address |
9562 Rocky River Rd Charlotte NC 28215 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 6153415875 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Authorized Official Name | JAMES HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 6153415875 |
| 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 |
|---|---|
| Hickory Ridge Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993960 | Total Renal Care of North Carolina LLC | Clinic/Center | 102 Coyote Ln, Robersonville, NC 27871-9514 | 2018-12-06 |
| 1487156253 | Total Renal Care of North Carolina LLC | Clinic/Center | 1900 3rd Avenue Ln Se, Hickory, NC 28602-2959 | 2018-03-07 |
| 1578062626 | Total Renal Care of North Carolina LLC | Clinic/Center | 1287 N Salisbury Ave, Spencer, NC 28159-1834 | 2018-02-05 |
| 1164938395 | Total Renal Care of North Carolina LLC | Clinic/Center | 3607 Witherspoon Blvd, Durham, NC 27707-6853 | 2017-12-26 |
| 1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
| 1003208240 | Total Renal Care of North Carolina LLC | Clinic/Center | 22807 Us Highway 17 N, Hampstead, NC 28443-3178 | 2015-02-25 |
| 1912307596 | Total Renal Care of North Carolina LLC | Clinic/Center | 111 Yopp Road, Jacksonville, NC 28540-3509 | 2014-09-02 |
| 1053744763 | Total Renal Care of North Carolina LLC | Clinic/Center | 11016 Red Springs Road, Red Springs, NC 28377-8060 | 2013-08-16 |
| 1134566342 | Total Renal Care of North Carolina LLC | Clinic/Center | 80 Westgate Plz, Franklin, NC 28734-1422 | 2013-05-29 |
| 1518206705 | Total Renal Care of North Carolina LLC | Clinic/Center | 102 College Station Dr Ste 10, Brevard, NC 28712-3355 | 2013-02-07 |
| Street Address |
9562 ROCKY RIVER RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| 1942719950 | Peak Wellness Clinic Pllc | Psychiatry & Neurology | 5252 B N Sharon Amity Road, Charlotte, NC 28215 | 2017-09-21 |
| Find all providers in zip 28215 | ||||
| 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 |
|---|---|---|---|---|
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| 1821500661 | Dva Healthcare Renal Care, Inc. | Clinic/Center | 5601 Tuckaseegee Rd, Charlotte, NC 28208-2525 | 2017-11-02 |
| 1952833188 | Captree Dialysis LLC | Clinic/Center | 5100 Reagan Drive, Ste 10, Charlotte, NC 28206-1353 | 2017-03-28 |
| 1528438215 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 14166 Steele Creek Rd, Charlotte, NC 28273-3968 | 2015-10-07 |
| 1689868739 | Dva Healthcare Renal Care Inc | Clinic/Center | 6620 Old Statesville Rd, Charlotte, NC 28269-6768 | 2007-08-31 |
| 1538259031 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 928 Baxter St, Charlotte, NC 28204-2802 | 2006-10-13 |
| 1629168125 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 5220 N Tryon St, Suite A, Charlotte, NC 28213-7070 | 2006-10-13 |
| 1083704589 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 7901 England St, Charlotte, NC 28273-5915 | 2006-10-13 |
| 1609988419 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1334 Central Ave, Charlotte, NC 28205-5010 | 2006-08-31 |
| 1457463267 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1534 N Hoskins Rd, Charlotte, NC 28216-3602 | 2006-08-31 |
| Find all providers in CHARLOTTE | ||||
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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.