Total Renal Care Inc

Primary specialty

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

License

38835 Issued in ME

Legal business name

TOTAL RENAL CARE INC

Doing business as

Lincoln Lakes Regional Dialysis

Practice address

250 Enfield Rd
Lincoln, ME 04457-0367

Phone

(207) 794-6095

Fax

(207) 794-6190

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Samuel Wey

Title

VP Licensure & Certification

Phone

(615) 341-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lincoln Lakes Regional Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Listed as

DaVita Lincoln Lakes Regional DialysisCCN 202513

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Mar 22, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

8

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

CLIA laboratory certificates

Tax ID family

Davita Upstate Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Eastern Maine Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bangor, ME
  • NPI 1588654479
  NPD tax ID
• Total Renal Care Inc

  dba Eastern Maine Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ellsworth, ME
  • NPI 1922352301
  NPD tax ID
• Total Renal Care Inc

  dba Brewer Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brewer, ME
  • NPI 1982106597
  NPD tax ID

Affiliated clinicians 3

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

• Stephen Gerard Comeau, M.D.

  • Nephrology Physician
  • Bangor, ME
  • NPI 1538165402

  Dialysis facility

  Care Compare affiliation Name & address match
• Hui Liu, M.D.

  • Nephrology Physician
  • Bangor, ME
  • NPI 1487898235

  Dialysis facility

  Care Compare affiliation Name & address match
• Manish Nepal, MD

  • Nephrology Physician
  • Bangor, ME
  • NPI 1982862751

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1346594769",
    "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": "250 ENFIELD RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044570367",
            "telephone_number": "207-794-6095",
            "fax_number": "207-794-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "ME",
            "license": "38835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346594769",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Lakes Regional Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln Lakes Regional Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Riverside Community Center, Inc
• Heidi Theriault, RN
• Harrold Joseph Thibodeau Jr., DMD
• Garnette Thompson
• Togus Vamc
• Town of Lincoln
• True Connections Behavioral Health Services Inc
• Turning Point Mental Health Professionals LLC
• Gabriel Patrick Valley, DMD
• Alfred H. Vandine Jr., LCPC-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lincoln, ME
• Providers in Lincoln, ME by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.