Healthcare Provider Details

I. General information

NPI: 1275460438
Provider Name (Legal Business Name): RENALCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10004 KENNERLY RD STE 103A
SAINT LOUIS MO
63128-2173
US

IV. Provider business mailing address

PO BOX 18
FENTON MO
63026-0018
US

V. Phone/Fax

Practice location:
  • Phone: 314-447-9600
  • Fax: 314-447-9601
Mailing address:
  • Phone: 314-447-9600
  • Fax: 314-447-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: RUO-QI HU
Title or Position: MD/OWNER
Credential: MD
Phone: 618-210-7191