TOTAL RENAL CARE OF NORTH CAROLINA LLC (NPI# 1740249374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740249374 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE OF NORTH CAROLINA LLC |
| Other Organization Name | SOUTHEASTERN DIALYSIS CENTER KENANSVILLE |
| Practice Address |
133 Limestone Rd Kenansville NC 28349-9019 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9102960748 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3422535 | 05 |
| Other Name | Type Code |
|---|---|
| Southeastern Dialysis Center Kenansville | 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 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 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 |
| Street Address |
133 LIMESTONE RD |
| City | KENANSVILLE |
| State | NC |
| Zip Code | 28349-9019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255820494 | Ashley Thigpen Kennedy | Occupational Therapist | 514 South Main Street, Kenansville, NC 28349 | 2018-05-03 |
| 1508387531 | Jeffery None Lowery | Speech-Language Pathologist | Vidant Duplin Rehabillitation, 514 S. Main Street, Kenansville, NC 28349 | 2017-06-29 |
| 1013269786 | Primary Health Choice, Inc. | Counselor | 302 North Main Street. Suite 2, Kenansville, NC 28349 | 2012-10-05 |
| 1104191907 | Duplin County Schools | Local Education Agency (LEA) | 315 N. Main St., Kenansville, NC 28349 | 2012-03-13 |
| 1841579844 | Ashley Barnes Ezzell | Pharmacist | 134 Liberty Square, Suite B, Kenansville, NC 28349 | 2011-08-08 |
| 1265767172 | Goshen Medical Center, Inc. | Clinic/Center | 212 Duplin St, Kenansville, NC 28349 | 2009-10-09 |
| 1497986509 | Duplin General Hospital, Incorporated | Licensed Practical Nurse | 401 North Main, Kenansville, NC 28349 | 2009-08-06 |
| 1679762066 | Mid-state Health Systems, Inc | Community/Behavioral Health | 117 Beasley St, 2nd Floor, Kenansville, NC 28349 | 2007-10-22 |
| 1861697310 | Teresa Ann Holland | Nurse Practitioner | 140 Limestone Rd, Kenansville, NC 28349 | 2007-06-15 |
| 1760521470 | Alpha Omega Health | Case Management | 103 East Hill Street, Suite 3, Kenansville, NC 28349 | 2007-02-06 |
| Find all providers in zip 28349 | ||||
| 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 |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1730793571 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 | 2020-08-31 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| 1972139640 | Fresenius Medical Care Holly Springs, LLC | Clinic/Center | 5045 Old Raleigh Rd, Cary, NC 27511-6479 | 2020-03-13 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1699318162 | Total Renal Care of North Carolina, LLC | Clinic/Center | 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 | 2019-10-28 |
| 1497398416 | Total Renal Care of North Carolina, LLC | Clinic/Center | 2621 Hendersonville Rd, Arden, NC 28704-9226 | 2019-10-22 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1962063156 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 565 Regency Blvd, Winterville, NC 28590-5503 | 2019-06-27 |
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | KENANSVILLE |
| Zip Code | 28349 |
Please comment or provide details below to improve the information on TOTAL RENAL CARE OF NORTH CAROLINA LLC.
| 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.