Organization Active NPI

Total Renal Care Inc

Doing business as Carolina Coast Home Training

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Hilton Head, SC
National Provider Identifier
1063799203
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
ERD-0200 Issued in SC
Legal business name
TOTAL RENAL CARE INC
Doing business as
Carolina Coast Home Training
Practice address
25 Hospital Center Blvd
Suite 104a
Hilton Head, SC 29926-2735
Phone
(843) 342-7300
Fax
(843) 342-7311
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James K Hilger
Title
Chief Accounting Officer
Phone
(253) 733-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X ERD-0200 SC Primary

Addresses

Primary practice location

25 Hospital Center Blvd
Suite 104a
Hilton Head, SC 29926-2735

Mailing address

5200 Virginia Way
L&C Deptartment
Brentwood, TN 37027-7569
Phone (615) 320-4230

Other identifiers 1

IdentifierTypeStateIssuer
RE0052MedicaidSC

Other names 1

  • Carolina Coast Home Training Doing business as

National Provider Directory

National Provider Directory

Locations

25 Hospital Center Blvd
Ste 104A
Hilton Head Island, SC 29926
Phone (843) 342-7300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1063799203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPTARTMENT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 104A",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262735",
            "telephone_number": "843-342-7300",
            "fax_number": "843-342-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4500"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "SC",
            "license": "ERD-0200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RE0052",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Coast Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.