MEDICARE: TOTAL RENAL CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114981586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL RENAL CARE INC

Provider Business Mailing Address
First Line	:	5200 VIRGINIA WAY
Second Line	:	L&C DEPT
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-7569
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 PARK ST STE 230
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55103-2193
Country	:	US
Telephone Number	:	651-221-3318
Fax Number	:	651-224-4187

Authorized Official
Title or Position	:	VP LICENSURE & CERTIFICATION
Name	:	SAMUEL T WEY
Credential	:
Telephone Number	:	615-341-6641

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	09/12/2024

Similar Medicare Providers

1538241443 — TOTAL RENAL CARE INC
Practice Location Address:

555 PARK ST STE 110
SAINT PAUL, MN
55103-2193

Practice Phone: 651-221-3437
Practice Fax:

1770572414 — DR. MARK W. HOUSTON DDS
Practice Location Address:

2193 SILVER LAKE RD NW
SAINT PAUL, MN
55112-5331

Practice Phone: 651-633-3116
Practice Fax:

1073700217 — MS. MISTY D WHEELOCK ANP
Practice Location Address:

10050 KENNERLY RD STE 2400
SAINT LOUIS, MO
63128-2193

Practice Phone: 314-849-6066
Practice Fax:

1407180862 — MS. DEBORAH BRADER KIDWELL LCPC
Practice Location Address:

112 SAINT CLAIRE PL STE 202
STEVENSVILLE, MD
21666-2193

Practice Phone: 410-703-2816
Practice Fax:

1538440862 — JILL ANNE BURGHOLZER CRNP-PMH
Practice Location Address:

112 SAINT CLAIRE PL STE 202
STEVENSVILLE, MD
21666-2193

Practice Phone: 410-200-6920
Practice Fax:

1902154743 — DR. RAYA SABA MD
Practice Location Address:

10050 KENNERLY RD STE 2400
SAINT LOUIS, MO
63128-2193

Practice Phone: 314-849-6066
Practice Fax:

Directions to “TOTAL RENAL CARE INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.