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Total Renal Care of North Carolina LLC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Carthage, NC

NPI 1346568367 · NPPES record last updated Jul 31, 2024

Key facts

NPI
1346568367
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
TOTAL RENAL CARE OF NORTH CAROLINA LLC
Practice address
165 Savannah Garden Dr
Carthage, NC 28327-6161
Phone
(910) 947-1052
Fax
(910) 947-1060
NPI assigned
May 14, 2010
Organization subpart
No

Authorized official

Name
Samuel T Wey
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Affiliated clinicians 1

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

Medicare Care Compare: Dialysis facility

Listed as
DaVita Carthage Dialysis CCN 342679
Overall star rating
★★★☆☆ 3.0 of 5
Ownership
Profit
Certified
Oct 6, 2010
Medicare certification status
Active (Provider of Services file)
Chain
DaVita
Dialysis stations
14

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2008522Carthage Dialysis
165 Savannah Garden, Carthage, NC 28327		Certificate of waiverJun 10, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100725000002 NC Part a Provider - End-Stage Renal Disease Facility (ESRD) 7911815592 Practice locations: Carthage, NC

National Provider Directory

Tax ID family
Total Renal Care of North Carolina LLC (60 organizations share this tax ID)

Locations

165 Savannah Garden Dr
Carthage, NC 28327
Phone (910) 947-1052

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

165 Savannah Garden Dr
Carthage, NC 28327-6161

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569

Other identifiers

IdentifierTypeStateIssuer
3402679MedicaidNC

Other names

  • Carthage Dialysis Doing business as

Other providers in Carthage, NC

All providers in Carthage, NC · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in North Carolina

Sources for this page

Verify at the official NPI Registry.