Active NPI
Total Renal Care Inc
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Westlake, OH
National Provider Identifier
1477883098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 0962DC
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- Westshore Dialysis
- Practice address
- 29000 Center Ridge Rd
Westlake, OH 44145-5293 - Phone
- (440) 835-1734
- Fax
- (440) 835-1758
- NPI assigned
- Jan 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James K Hilger
- Title
- Chief Accounting Officer
- Phone
- (253) 382-1919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 0962DC | OH | Primary |
Addresses
Primary practice location
29000 Center Ridge Rd
Westlake, OH 44145-5293
Mailing address
5200 Virginia Way
L&C Dept 4 Floor
Brentwood, TN 37027-7569
Phone (615) 320-4458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3028360 | Medicaid | OH |
Other names 1
- Westshore Dialysis
National Provider Directory
National Provider DirectoryLocations
5200 Virginia Way
#4
Brentwood, TN 37027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307577600000",
"number": "1477883098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "L&C DEPT 4 FLOOR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277569",
"telephone_number": "615-320-4458",
"fax_number": "877-259-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29000 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455293",
"telephone_number": "440-835-1734",
"fax_number": "440-835-1758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-04",
"last_updated": "2011-06-09",
"status": "A",
"authorized_official_last_name": "HILGER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
"authorized_official_telephone_number": "253-382-1919"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "OH",
"license": "0962DC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3028360",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westshore Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.