Active NPI
Total Renal Care Inc
Doing business as Greater Charleston Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- South Charleston, WV
National Provider Identifier
1154722379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- Greater Charleston Dialysis
- Practice address
- 24 Maccorkle Ave SW
South Charleston, WV 25303-1476 - Phone
- (304) 720-2222
- Fax
- (304) 720-2322
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
24 Maccorkle Ave SW
South Charleston, WV 25303-1476
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154722379 | Medicaid | WV |
Other names 1
- Greater Charleston Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141124000991 | WV | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8426965229 | Practice locations: South Charleston, WV |
National Provider Directory
National Provider Directory- Tax ID family
- Davita Upstate Dialysis
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Wood County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parkersburg, WV
- NPI 1083161400
-
dba New Martinsville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Martinsville, WV
- NPI 1396272332
-
dba Wheeling Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wheeling, WV
- NPI 1417484452
-
dba West Virginia Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Logan, WV
- NPI 1831154442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1154722379",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MACCORKLE AVE SW",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031476",
"telephone_number": "304-720-2222",
"fax_number": "304-720-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "WEY",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP LICENSURE & CERTIFICATION",
"authorized_official_telephone_number": "615-341-6641"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154722379",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Greater Charleston Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Greater Charleston Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.