TOTAL RENAL CARE INC (NPI# 1831154442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831154442 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | WEST VIRGINIA DIALYSIS |
| Practice Address |
300 Prosperity Ln Ste 150 Logan WV 25601-3743 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 3047522700 |
| Practice Fax Number | 3047525656 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | JOHN D 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001705 | 05 |
| Other Name | Type Code |
|---|---|
| West Virginia Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690506 | Total Renal Care Inc | Clinic/Center | 16290 Auto Ln, Sumner, WA 98390-2568 | 2020-08-21 |
| 1669080107 | Total Renal Care Inc | Clinic/Center | 4270 Rosewood Dr Ste E, Pleasanton, CA 94588-3065 | 2020-07-21 |
| 1437798386 | Total Renal Care Inc | Clinic/Center | 1800 State Route 34 Ste 302, Wall Township, NJ 07719-9146 | 2019-12-24 |
| 1750939963 | Total Renal Care Inc | Clinic/Center | 7 Cambridge Dr Ste 105, Trumbull, CT 06611-4763 | 2019-08-30 |
| 1992358170 | Total Renal Care Inc | Clinic/Center | 1700 Markley St, Ste 122, Norristown, PA 19401-2902 | 2019-07-17 |
| 1760034599 | Total Renal Care Inc | Clinic/Center | 9431 Corkscrew Palms Cir, Estero, FL 33928-6275 | 2019-07-11 |
| 1225691447 | Total Renal Care Inc | Clinic/Center | 1115 N Nova Rd, Daytona Beach, FL 32117-4108 | 2019-04-15 |
| 1659839181 | Total Renal Care Inc | Clinic/Center | 645 9th St Nw, Salem, OR 97304-3132 | 2019-03-04 |
| 1477019388 | Total Renal Care Inc | Clinic/Center | 4539 Chiquita Blvd S, Cape Coral, FL 33914 | 2019-02-15 |
| 1902377591 | Total Renal Care Inc | Clinic/Center | 11859 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6653 | 2018-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Total Renal Care Inc. | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Virginia Business Entities | TOTAL RENAL CARE INC. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
300 PROSPERITY LN STE 150 |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174828867 | Corey Edward Greene | Physician Assistant | 300 Prosperity Ln, Suite 207, Logan, WV 25601-3743 | 2011-01-11 |
| 1346541281 | Southern West Virginia Nephrology Associates | Internal Medicine | 300 Prosperity Ln, Suite 203, Logan, WV 25601-3494 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| 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 |
|---|---|---|---|---|
| 1265603542 | Total Renal Care Inc | Clinic/Center | 12880 Grey St, Logan, OH 43138-9638 | 2008-03-14 |
| 1407030802 | Logan Dialysis Center LLC | Clinic/Center | 12900 State Route 664 S, Logan, OH 43138-9261 | 2007-12-20 |
| 1568517365 | Ihc Health Services Inc | Clinic/Center | 1400 N 500 E, Logan, UT 84341-2455 | 2007-01-24 |
| 1831108497 | Ihc Health Services Inc. | Clinic/Center | 1400 N 500 E, Logan, UT 84341-2455 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064471 | Weirton Dialysis Center LLC | Clinic/Center | 100 Colliers Way Ste 1, Weirton, WV 26062-4000 | 2018-05-29 |
| 1265958292 | Fresenius Medical Care Hamlin, LLC | Clinic/Center | 12 Lincoln Plz, Branchland, WV 25506-9773 | 2017-08-22 |
| 1396272332 | Total Renal Care Inc | Clinic/Center | 1 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2017-05-22 |
| 1871032995 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 256 Skidmore Ln, Sutton, WV 26601 | 2017-02-22 |
| 1629517743 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 4 Northridge Dr Ste 116, Buckhannon, WV 26201-8484 | 2017-02-22 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| 1215389747 | Ravine Dialysis LLC | Clinic/Center | 600 Mcginnis Dr, Wayne, WV 25570 | 2016-07-08 |
| 1689049124 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 927 Foxcroft Ave, Martinsburg, WV 25401-1840 | 2015-12-09 |
| 1497122469 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 308 Huff Creek Highway, Man, WV 25635 | 2015-08-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
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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.