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

Lake St Louis At Home

Practice address

200 Brevco PLZ
Ste 202
Lake Saint Louis, MO 63367-2950

Phone

(636) 625-4460

Fax

(636) 625-4463

NPI assigned

Dec 17, 2009

Last updated

Jul 24, 2026By 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 names 1

• Lake St Louis At Home Doing business as

Medicare fee-for-service enrollment

Enrolled in MO, LA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Total Renal Care Inc

  dba River Bend Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Luling, LA
  • NPI 1932421971

  O20100527000201

  Same enrollment

Listed as

DaVita Lake St. Louis Home At HomeCCN 262641

Ownership

Profit

Certified

Jul 21, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

4

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

CLIA laboratory certificates

Affiliated clinicians 3

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

• Piotr T Dyk, M.D.

  • Nephrology Physician
  • Lake Saint Louis, MO
  • NPI 1194712927

  Dialysis facility

  Care Compare affiliation Name & address match
• Henrikas Irmantas Juknis, MD

  • Nephrology Physician
  • Saint Peters, MO
  • NPI 1578531299

  Dialysis facility

  Care Compare affiliation Name & address match
• Tatyana Petrosova, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1023089562

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1396074597",
    "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": "200 BREVCO PLZ",
            "address_2": "STE 202",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672950",
            "telephone_number": "636-625-4460",
            "fax_number": "636-625-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake St Louis At Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake St Louis At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carolyn Ann Tinker, MA, PLPC, NCC
• Tofbc, LLC
• Total Access Urgent Care, PC (Total Access Urgent Care)
• Adam Lee Trimpe, FNP-C
• Lee Trotter, RPH
• Sarah Udell, MS, RD/LD
• Emma Lee Van Dillen, M.ED, LPC
• Jillian Marie Vogt

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.