NPIMap

Total Renal Care of North Carolina LLC

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

NPI 1437119641 · NPPES record last updated Oct 14, 2025

Key facts

NPI
1437119641
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
771 Cheraw Rd
Hamlet, NC 28345-7158
Phone
(910) 582-5822
Fax
(910) 582-1320
NPI assigned
Mar 23, 2006
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.

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
34D0669884Dialysis Care of Richmond County
771 Cheraw Road, Hamlet, NC 28345		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20030515000018 NC Part a Provider - End-Stage Renal Disease Facility (ESRD) 7911815592 Practice locations: Hamlet, NC

National Provider Directory

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

Locations

711 Cheraw Rd
Hamlet, NC 28345

771 Cheraw Rd
Hamlet, NC 28345
Phone (910) 582-5822

Specialties & licenses

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

Addresses

Primary practice location

771 Cheraw Rd
Hamlet, NC 28345-7158

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3412539MedicaidNC
325395MedicaidSC
ER0021MedicaidSC

Other names

  • Dialysis Care of Richmond County Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2025.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1437119641",
    "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": "771 CHERAW RD",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283457158",
            "telephone_number": "910-582-5822",
            "fax_number": "910-582-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE OF NORTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "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": "3412539",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325395",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ER0021",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dialysis Care of Richmond County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dialysis Care of Richmond County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamlet, NC

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

Sources for this page

Verify at the official NPI Registry.