TRC - INDIANA LLC


Address: 4802 Broadway, Gary, IN 46408
Phone: 2198871199

TRC - INDIANA LLC (NPI# 1952364648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952364648
Entity Type Organization
Organization Name TRC - INDIANA LLC
Other Organization Name COMPREHENSIVE RENAL CARE GARY
Practice Address 4802 Broadway
Gary
IN 46408
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 2198871199
Practice Fax Number 2198871605
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2006-04-11
Last Update Date 2019-09-11
Authorized Official Name JAMES K HILGER (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
IN 200315330A 05

Other Provider/Organization Names

Other Name Type Code
Comprehensive Renal Care Gary Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215990965 Trc - Indiana LLC Clinic/Center 222 Douglas St, Hammond, IN 46320 2006-04-11
1578526216 Trc - Indiana LLC Clinic/Center 4320 Fir St Unit 404, East Chicago, IN 46312-3078 2006-04-11
1982668455 Trc - Indiana LLC Clinic/Center 1602 Main St, Tell City, IN 47586-1310 2006-04-13

Office Location

Street Address 4802 BROADWAY
City GARY
State IN
Zip Code 46408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306842786 Kupusamy Umapathy Internal Medicine 4802 Broadway, Gary, IN 46408-4509 2005-06-22
1790035244 Umapathy Md, PC Internal Medicine 4802 Broadway, Gary, IN 46408-4509 2012-09-12
1578738464 Nephrology Specialists, P.C. Internal Medicine 4802 Broadway, Gary, IN 46408-4509 2008-04-23
1962466938 Timothy F Gardner Nurse Practitioner 4802 Broadway, Gary, IN 46408-4509 2006-04-14
1619972114 David Ashbach Internal Medicine 4802 Broadway, Gary, IN 46408-4509 2005-06-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497275788 Brynn T Shelton Home Health Aide 4138 Ruthledge St, Gary, IN 46408 2017-06-27
1306243027 Around The Clock Transportation Non-emergency Medical Transport (VAN) 3979 Cleveland St, Gary, IN 46408 2014-11-24
1710900956 Home Health Services Inc Home Health 1281 W Ridge Road, Gary, IN 46408 2006-07-26
1023031978 Nkechi Pauline Onyeukwu Nurse Practitioner 3814 Grant Street, Gary, IN 46408 2006-07-25
1093724007 Geoffrey Okechukwu Onyeukwu Family Medicine 3814 Grant Street, Gary, IN 46408 2006-08-07
1629091863 Home Health Medical Supplies Inc Durable Medical Equipment & Medical Supplies 1281 W Ridge Road, Gary, IN 46408 2006-07-26
1073510244 Broadway Foot Clinic Corporation Podiatrist 3290 Grant St, Suite 108, Gary, IN 46408-1015 2005-07-03
1205180676 Fresenius Medical Care Nw Indiana, LLC Clinic/Center 3290 Grant St, Gary, IN 46408-1015 2012-11-06
1194830935 Everest Healthcare Indiana, Inc. Clinic/Center 3290 Grant St, Gary, IN 46408-1015 2006-08-20
1912067349 Indiana University Northwest Dentist 3400 Broadway, Gary, IN 46408-1101 2006-12-08
Find all providers in zip 46408

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609378165 The Dialysis Center of Gary LLC Clinic/Center 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 2018-03-01
1205180676 Fresenius Medical Care Nw Indiana, LLC Clinic/Center 3290 Grant St, Gary, IN 46408-1015 2012-11-06
1194830935 Everest Healthcare Indiana, Inc. Clinic/Center 3290 Grant St, Gary, IN 46408-1015 2006-08-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942858436 Fresenius Medical Care Kyana, LLC Clinic/Center 604 Mount Tabor Rd, New Albany, IN 47150-2211 2019-08-28
1982263398 Fresenius Medical Care North Elkhart, LLC Clinic/Center 801 W Bristol St, Elkhart, IN 46514 2019-06-10
1114583697 Dialysis Care Center Merrillville LLC Clinic/Center 349 W 80th Pl, Merrillville, IN 46410-5433 2019-05-10
1043875180 Usrc Mhp, LLC Clinic/Center 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 2019-05-03
1326601808 The Dialysis Center of Hammond-whiting LLC Clinic/Center 1005 5th Avenue, Hammond, IN 46320-1004 2019-04-19
1770049017 Dialyze Direct In LLC Clinic/Center 13295 Illinois St Ste 210, Carmel, IN 46032-3021 2019-02-12
1174006662 Isd Renal Inc Clinic/Center 2636 W Michigan St, Indianapolis, IN 46222-3727 2018-09-11
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1831685882 Total Renal Care Inc Clinic/Center 2 Executive Dr Ste B, Lafayette, IN 47905-4878 2018-07-02
1730695024 Isd Renal Inc Clinic/Center 816 119th St, Whiting, IN 46394-1401 2017-12-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City GARY
Zip Code 46408

Improve Information

Please comment or provide details below to improve the information on TRC - INDIANA LLC.

Dataset Information

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.

Trending Searches