Total Renal Care Inc

Primary specialty

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

Legal business name

TOTAL RENAL CARE INC

Doing business as

Rosebud Dialysis

Practice address

1 Soldier Creek Rd
Rosebud, SD 57570-0610

Phone

(605) 747-2916

Fax

(605) 747-2699

NPI assigned

Mar 23, 2006

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Rosebud Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Listed as

DaVita Rosebud DialysisCCN 432504

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jul 6, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

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

Tax ID family

Springdale Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

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

• Total Renal Care

  dba DaVita Peritoneal Dialysis Program - Gregory

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gregory, SD
  • NPI 1184711061
  NPD tax ID
• Total Renal Care Inc

  dba Sioux Falls Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sioux Falls, SD
  • NPI 1033178660
  NPD tax ID
• Total Renal Care Inc

  dba Moccasin Creek Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aberdeen, SD
  • NPI 1437502614
  NPD tax ID
• Total Renal Care, Inc.

  dba DaVita Peritoneal Dialysis Program-Watertown

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Watertown, SD
  • NPI 1366538514
  NPD tax ID
• Total Renal Care, Inc.

  dba DaVita Peritoneal Dialysis Program - Mitchell

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mitchell, SD
  • NPI 1699860833
  NPD tax ID

Affiliated clinicians 1

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

• Casey Nicole Watkins, MD

  • Nephrology Physician
  • Cheyenne, WY
  • NPI 1124317995

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1356301519",
    "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": "1 SOLDIER CREEK RD",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700610",
            "telephone_number": "605-747-2916",
            "fax_number": "605-747-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5400593",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosebud Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosebud Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Tamayo, REGISTERED NURSE
• Maria Teachout
• Ruth M Thomas, PA-C
• Anna Marie Thompson, RN, DPHN
• Tokata Etunwan Wakanyeza Owicakiyapi
• Tanya Jolette Twobulls, REGISTERED NURSE
• Michelle Vandermay, REGISTERED NURSE
• Ardean G Vernon, REGISTERD NURSE
• Dorothy S Vershure, REGISTERED PHARMACIS
• Romeo Aganad Vivit, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Rosebud, SD
• Providers in Rosebud, SD by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.