Active NPI
Total Renal Care Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Farmington, CT
National Provider Identifier
1174882393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 0322
- Legal business name
- TOTAL RENAL CARE INC
- Practice address
- 11 South Rd
Ste 110
Farmington, CT 06032-2483 - Phone
- (860) 678-0587
- Fax
- (860) 678-0613
- NPI assigned
- May 8, 2012
- 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
- John D Winstel
- Title
- Chief Accounting Officer, Treasurer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 0322 | CT | Primary |
Addresses
Primary practice location
11 South Rd
Ste 110
Farmington, CT 06032-2483
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008043428 | Medicaid | CT |
Other names 1
- Farmington Dialysis
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603152000000",
"number": "1174882393",
"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": "615-320-4214",
"fax_number": "866-944-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 SOUTH RD",
"address_2": "STE 110",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322483",
"telephone_number": "860-678-0587",
"fax_number": "860-678-0613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER, TREASURER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "CT",
"license": "0322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008043428",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Farmington Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.