Irc-Renasolve Roseburg Joint Venture LLC

Primary specialty

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

Legal business name

IRC-RENASOLVE ROSEBURG JOINT VENTURE LLC

Practice address

171 NW Medical Loop Ste 109
Roseburg, OR 97471-8690

Phone

(541) 900-6910

Fax

(541) 900-6911

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Sara Anne Brady

Title

Cno

Phone

(208) 371-7878

Specialties & licenses 1

Addresses

Other names 1

• INNOVATIVE RENAL CARE ROSEBURG Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Innovative Renal Care RoseburgCCN 382592

Ownership

Profit

Certified

Dec 6, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

12

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

CLIA laboratory certificates

Locations

Affiliated clinicians 2

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

• Rubin Chandran, MD

  • Nephrology Physician
  • Hillsboro, OR
  • NPI 1972571024

  Dialysis facility

  Care Compare affiliation Name & address match
• Peter S McCauley, MD

  • Nephrology Physician
  • Bakersfield, CA
  • NPI 1629189113

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1245085836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 NW MEDICAL LOOP STE 109",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718690",
            "telephone_number": "541-900-6910",
            "fax_number": "541-900-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 NW MEDICAL LOOP STE 109",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718690",
            "telephone_number": "541-900-6910",
            "fax_number": "541-900-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRC-RENASOLVE ROSEBURG JOINT VENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "208-371-7878"
    },
    "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": "INNOVATIVE RENAL CARE ROSEBURG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Ingram, OTR
• Integrated Chiropractic and Rehab PC
• Integricare, Inc.
• Integricare, Inc.
• Internal Medicine & Geriatrics, P.C.
• Bari S Isaacson, LPC
• Terry Isaacson, PHD
• Erica Ishmael
• Leah Isip
• Jimee L Itzkowitz, LCSW

• All providers in Roseburg, OR
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.