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	ERD-0167	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ERD-0167	OTHER	SC	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689626749
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	:	1975 CAROLINA PLACE DR
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6922
Country	:	US
Telephone Number	:	803-802-3027
Fax Number	:	803-802-0319

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/15/2025

Similar Medicare Providers

1528033123 — BARBARA J BRECHEEN M.ED
Practice Location Address:

6922 MILL CT SE
OLYMPIA, WA
98503-3026

Practice Phone: 360-491-8815
Practice Fax:

1295116168 — CENTREPOINTE COUNSELING, INC.
Practice Location Address:

6922 MUNCASTER MILL RD
ROCKVILLE, MD
20855-1546

Practice Phone: 800-491-5369
Practice Fax: 301-774-3678

1710131065 — MARTHA F MOORE L.M.T.
Practice Location Address:

5201 SW 31ST AVE APT 105
FORT LAUDERDALE, FL
33312-6922

Practice Phone: 954-547-3749
Practice Fax:

1205160579 — PINE ACUPUNCTURE & HERBAL MEDICINE CLINIC
Practice Location Address:

166 MAIN ST , #2B
FORT LEE, NJ
07024-6922

Practice Phone: 201-585-8285
Practice Fax:

1154655249 — DR. DOAM KIM L.AC.
Practice Location Address:

166 MAIN ST , #B
FORT LEE, NJ
07024-6922

Practice Phone: 201-585-8285
Practice Fax: 201-585-8290

1144638784 — GARAM HOLISTIC INC
Practice Location Address:

166 MAIN ST STE 2B
FORT LEE, NJ
07024-6922

Practice Phone: 201-585-8285
Practice Fax: 201-585-8290

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.