TOTAL RENAL CARE, INC. (NPI# 1730569849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730569849 |
| Entity Type | Organization |
| Organization Name | TOTAL RENAL CARE, INC. |
| Other Organization Name | BULL RUN DIALYSIS |
| Practice Address |
9420 Forestwood Ln Ste 100 Manassas VA 20110-4757 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 7032571749 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| 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 |
VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1730569849 | 05 |
| Other Name | Type Code |
|---|---|
| Bull Run Dialysis | 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 |
| 1326426529 | Total Renal Care, Inc. | Clinic/Center | 3637 Del Prado Blvd S, Ste 202, Cape Coral, FL 33904-7199 | 2015-05-08 |
| 1841682200 | Total Renal Care, Inc. | Clinic/Center | 28375 Walker Rd S, Walker, LA 70785-6029 | 2015-02-23 |
| 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 |
| Street Address |
9420 FORESTWOOD LN STE 100 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1033213806 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 9302 W Courthouse Rd, Manassas, VA 20110-1808 | 2006-09-12 |
| 1093779126 | Continental Dialysis Centers Inc | Clinic/Center | 10655 Lomond Dr, Ste 101, Manassas, VA 20109-2877 | 2006-04-14 |
| 1467855304 | Fresenius Medical Care Manassas, LLC | Clinic/Center | 9302 W Courthouse Rd, Manassas, VA 20110-1808 | 2014-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497363253 | Fresenius Medical Care Kempsville Home, LLC | Clinic/Center | 6161 Kempsville Cir Ste B, Norfolk, VA 23502-3932 | 2020-07-17 |
| 1760004360 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 7525 Tidewater Dr Ste 37, Norfolk, VA 23505-3700 | 2020-05-18 |
| 1871113746 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 165 Market St Ste 6, Onancock, VA 23417-4233 | 2020-04-21 |
| 1447889399 | Legacy Dialysis of Virginia | Clinic/Center | 211 Gibson St Nw Ste 209, Leesburg, VA 20176-2115 | 2020-04-03 |
| 1457907917 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 570 Westgate Shopping Ctr, Bedford, VA 24523-2643 | 2019-08-12 |
| 1306492848 | Renal Treatment Centers- Mid-atlantic, Inc. | Clinic/Center | 145 Holt Garrison Pkwy Ste 340, Danville, VA 24540-5956 | 2019-08-12 |
| 1043873664 | Branbur Dialysis LLC | Clinic/Center | 4650 Puddledock Rd, Prince George, VA 23875-1235 | 2019-04-18 |
| 1811454226 | Mohansic Dialysis, LLC | Clinic/Center | 8123 Richmond Hwy, Alexandria, VA 22309-3613 | 2019-02-22 |
| 1720552110 | Shawano Dialysis, LLC | Clinic/Center | 13859 Village Place Dr, Midlothian, VA 23114-3503 | 2019-01-18 |
| 1528533171 | Gansett Dialysis, LLC | Clinic/Center | 8605 Westwood Center Dr Ste 100, Vienna, VA 22182-2231 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
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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.