TOTAL RENAL CARE, INC. (NPI# 1588020069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588020069 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE, INC. |
| Other Organization Name | PALM COAST HOME TRAINING |
| Practice Address |
80 Pinnacles Dr Ste 1000 Palm Coast FL 32164-2916 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3865867399 |
| Practice Fax Number | 3865862975 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
|---|---|---|---|
| FL | 020303200 | 05 |
| Other Name | Type Code |
|---|---|
| Palm Coast Home Training | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637529 | Total Renal Care, Inc. | Clinic/Center | 601 Chamberlin Ave, Frankfort, KY 40601-4220 | 2020-04-06 |
| 1407496557 | Total Renal Care, Inc. | Clinic/Center | 310n L Rogers Wells Bldv, Glasgow, KY 42141-1300 | 2020-01-07 |
| 1104387711 | Total Renal Care, Inc. | Clinic/Center | 2 E Clark Bass Blvd Ste 101, Mcalester, OK 74501-4210 | 2019-03-27 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1467801860 | Total Renal Care, Inc. | Clinic/Center | 20184 Heritage Dr, Lakeville, MN 55044-6855 | 2016-06-07 |
| 1477909133 | Total Renal Care, Inc. | Clinic/Center | 4021 Stirrup Creek Dr, Suite 400, Durham, NC 27703-9352 | 2016-05-11 |
| 1518347517 | Total Renal Care, Inc. | Clinic/Center | 1177 Nw 64th Ter, Gainesville, FL 32605 | 2015-06-04 |
| 1730569849 | Total Renal Care, Inc. | Clinic/Center | 9420 Forestwood Ln, Ste 100, Manassas, VA 20110-4757 | 2015-06-03 |
| 1326426529 | Total Renal Care, Inc. | Clinic/Center | 3637 Del Prado Blvd S, Ste 202, Cape Coral, FL 33904-7199 | 2015-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TOTAL RENAL CARE, INC. | 15271 Laguna Canyon Rd, Irvine, CA 92618-3146 |
| Oklahoma Business Registrations | TOTAL RENAL CARE, INC. | 21250 Hawthorne Blvd Ste 800, Torrence, CA 90503 |
| Oregon Corporations, Companies and Business Names | TOTAL RENAL CARE, INC. | Jld/secgovfin, 2000 16th Street, Denver, CO 80202 |
| Washington State Corporations | TOTAL RENAL CARE, INC. | Jld/secgovfin 2000 16th Street, Denver, CO 80202 |
| Connecticut Business Registrations | TOTAL RENAL CARE, INC. | 2000 16th Street, Denver, CO 80202 |
| Street Address |
80 PINNACLES DR STE 1000 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780790691 | Ronald Bathaw | Orthopaedic Surgery | 80 Pinnacles Dr, Building B, Suite 700, Palm Coast, FL 32164-2323 | 2006-08-22 |
| 1215390729 | Amber Tulli | Physical Therapy Assistant | 80 Pinnacles Dr, Bldg B, Suite 800, Palm Coast, FL 32164-2323 | 2016-04-01 |
| 1043670532 | Mcgreevy Neurohealth Palm Coast | Pain Medicine | 80 Pinnacles Dr, Suite 700, Palm Coast, FL 32164-2323 | 2016-02-26 |
| 1831572411 | Andrea Liddell | Occupational Therapist | 80 Pinnacles Dr, Bldg B, Suite 800, Palm Coast, FL 32164-2323 | 2015-07-01 |
| 1487969044 | Brian Stephen Gorski | Physical Therapy Assistant | 80 Pinnacles Dr, Building B, Suite 800, Palm Coast, FL 32164-2323 | 2010-08-06 |
| 1841422581 | Palm Harbor Orthopedics Pa | Orthopaedic Surgery | 80 Pinnacles Dr, Suite 700, Palm Coast, FL 32164-2323 | 2009-08-13 |
| 1366618274 | Angela Renee Schnell | Specialist | 80 Pinnacles Dr, Building B, Suite 800, Palm Coast, FL 32164-2323 | 2008-05-01 |
| 1306037924 | Cora Health Services Inc | Clinic/Center | 80 Pinnacles Dr, Bldg. B, Suite 800, Palm Coast, FL 32164-2323 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
|---|---|---|---|---|
| 1972074086 | West Orange Palm Coast Dialysis Center LLC | Clinic/Center | 57 Town Ct Ste 118, Palm Coast, FL 32164-2425 | 2018-12-16 |
| 1962683714 | Dialysis Care Center of Palm Coast LLC | Clinic/Center | 515 Palm Coast Pkwy Sw, Units 2, 3, & 4, Palm Coast, FL 32137-5700 | 2007-11-21 |
| 1619945946 | Dva Healthcare Renal Care Inc | Clinic/Center | 13 Kingswood Dr, Ste A, Palm Coast, FL 32137-4614 | 2006-03-11 |
| 1508495763 | Total Renal Care, Inc | Clinic/Center | 57 Town Ct Ste 118, Palm Coast, FL 32164-2425 | 2020-04-08 |
| 1104380021 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 515 Palm Coast Pkwy Sw, Ste 2, 3, 4, Palm Coast, FL 32137-4739 | 2019-01-24 |
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|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
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| 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.