Total Renal Care Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

TOTAL RENAL CARE INC

Doing business as

Palatka Dialysis

Practice address

326 Zeagler Dr
Palatka, FL 32177-3817

Phone

(386) 329-9458

Fax

(386) 329-9340

NPI assigned

Sep 13, 2012

Last updated

Aug 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel T. Wey, AO

Title

Sr Director Licensure&Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other names 1

• Palatka Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

DaVita Palatka DialysisCCN 682532

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Feb 18, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hernando Kidney Center758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Total Renal Care Inc

  dba Orlando Airport Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Orlando, FL
  • NPI 1013468438
  NPD tax ID
• Total Renal Care Inc

  dba Port Charlotte Artificial Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Port Charlotte, FL
  • NPI 1023086352
  NPD tax ID
• Total Renal Care Inc

  dba Sunshine State Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Tallahassee, FL
  • NPI 1043707730
  NPD tax ID
• Total Renal Care Inc

  dba Fort Lauderdale Dixie Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oakland Park, FL
  • NPI 1083971071
  NPD tax ID
• Total Renal Care Inc

  dba Arcadia Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Arcadia, FL
  • NPI 1093782658
  NPD tax ID
• Total Renal Care Inc

  dba West Beach Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Panama City Beach, FL
  • NPI 1093902165
  NPD tax ID
• Total Renal Care Inc

  dba Kendall Kidney Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Miami, FL
  • NPI 1164748273
  NPD tax ID
• Total Renal Care Inc

  dba Winter Park Hemo Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Winter Park, FL
  • NPI 1215176433
  NPD tax ID
• Total Renal Care Inc

  dba Diamond Speedway Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Daytona Beach, FL
  • NPI 1225691447
  NPD tax ID
• Total Renal Care Inc

  dba Complete Dialysis Care South

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1245208784
  NPD tax ID
• Total Renal Care Inc

  dba Jacksonville South Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jacksonville, FL
  • NPI 1255587531
  NPD tax ID
• Total Renal Care Inc

  dba Fleming Island Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fleming Island, FL
  • NPI 1265959142
  NPD tax ID

Locations

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Melvin M Seek, M.D.

  • Nephrology Physician
  • Gainesville, FL
  • NPI 1043218043

  Dialysis facility

  Care Compare affiliation Name & address match
• Carlos Torres-Rivera, MD

  • Nephrology Physician
  • St Augustine, FL
  • NPI 1215032446

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1124378518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4593",
            "fax_number": "800-293-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ZEAGLER DR",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773817",
            "telephone_number": "386-329-9458",
            "fax_number": "386-329-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SR DIRECTOR LICENSURE&CERTIFICATION",
        "authorized_official_telephone_number": "615-341-6641",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palatka Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palatka Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte Denise Tivey, RPH
• TKC Global Group LLC
• Todd Chiropractic LLC
• Emily Todd, D.C.
• Letichi Maudtres Tookes, APRN
• Denise Marie Townsend, ARNP
• Tri County Eye Associates PA
• Sarah Jean Tripp
• Huan Yi Tsai, M.D.
• Katya Maria Tsangarakis, APRN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Palatka, FL
• Providers in Palatka, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.