TOTAL RENAL CARE INC (NPI# 1174900500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174900500 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE INC |
| Other Organization Name | SHOAL CREEK DIALYSIS |
| Practice Address |
8260 N Booth Ave Kansas City MO 64158-7201 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8167922502 |
| Practice Fax Number | 8167922635 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | JOHN 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 |
|---|---|---|---|
| MO | 1174900500 | 05 |
| Other Name | Type Code |
|---|---|
| Shoal Creek 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 |
8260 N BOOTH AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1780056135 | Bryan Watanabe Dds Liberty Dental Group PC | Dentist | 8291 N Booth Avenue, Kansas City, MO 64158 | 2015-10-26 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| Find all providers in zip 64158 | ||||
| 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 |
|---|---|---|---|---|
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1306381942 | Caddoan Dialysis LLC | Clinic/Center | 2852 W 47th Ave, Kansas City, KS 66103-3243 | 2017-01-05 |
| 1750833489 | Home Dialysis Services Kc Midtown LLC | Clinic/Center | 1728 Holmes St, Kansas City, MO 64108-1539 | 2016-10-28 |
| 1285990168 | Lone Dialysis LLC | Clinic/Center | 4407 E 50th Ter, Kansas City, MO 64130-2855 | 2012-04-05 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1518142710 | Isd Kansas City LLC | Clinic/Center | 3947 Broadway St, Kansas City, MO 64111-2516 | 2008-01-07 |
| 1376740555 | Nra Ukmc Kansas LLC | Clinic/Center | 6401 Parallel Parkway, Kansas City, KS 66102-1042 | 2007-06-29 |
| 1396837803 | Wyandotte Central Dialysis LLC | Clinic/Center | 3737 State Ave, Kansas City, KS 66102-3830 | 2006-09-29 |
| 1932211737 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2502 Summit St, Kansas City, MO 64108-2427 | 2006-08-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
Please comment or provide details below to improve the information on TOTAL RENAL CARE INC.
| 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.