Active NPI
Total Renal Care Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ellensburg, WA
National Provider Identifier
1174710198
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.
- Practice address
- 2101 W Dolarway Rd Ste 1
Ellensburg, WA 98926-7846 - Phone
- (509) 852-2136
- Fax
- (509) 852-2137
- NPI assigned
- Oct 3, 2007
- 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
2101 W Dolarway Rd Ste 1
Ellensburg, WA 98926-7846
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Other names 1
- Ellensburg Dialysis Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071005000791 | WA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8426965229 | Practice locations: Ellensburg, WA |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Ellensburg Dialysis Center
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 18, 2008
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 7
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1075639 | Ellensburg Dialysis Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Davita Upstate Dialysis
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tacoma, WA
- NPI 1275952004
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tacoma, WA
- NPI 1356760185
-
- Nutrition Education Nutritionist
- Federal Way, WA
- NPI 1174912141
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lakewood, WA
- NPI 1003870130
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tacoma, WA
- NPI 1013322726
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Federal Way, WA
- NPI 1043682651
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Wenatchee, WA
- NPI 1073870523
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Renton, WA
- NPI 1093162414
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Auburn, WA
- NPI 1215622824
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sunnyside, WA
- NPI 1225092364
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Federal Way, WA
- NPI 1316901440
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lynnwood, WA
- NPI 1336661479
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1174710198",
"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": "2101 W DOLARWAY RD STE 1",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989267846",
"telephone_number": "509-852-2136",
"fax_number": "509-852-2137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ellensburg Dialysis Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ellensburg Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.