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

Kelley Corners Dialysis

Practice address

231 Kelley St
Lake City, SC 29560-2446

Phone

(843) 394-3847

Fax

(843) 394-3966

NPI assigned

Feb 20, 2017

Last updated

Jul 14, 2021By 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

Mr. John Winstel

Title

Chief Accounting Officer

Phone

(253) 733-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KELLEY CORNERS DIALYSIS Doing business as

Locations (25 of 298)

Practitioners 156

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chokri Alioua

  • Nephrology Physician
  • Greenville, SC
  • NPI 1538142807
  NPD (past)
• MHD Adnan Alsaka, MD

  • Nephrology Physician
  • Florence, SC
  • NPI 1184880049
  NPD (past)
• Debby T Desalvo, D.O.

  • Nephrology Physician
  • Myrtle Beach, SC
  • NPI 1225034192
  NPD (past)
• Walton Strozier Moseley, M.D.

  • Nephrology Physician
  • North Charleston, SC
  • NPI 1194728311
  NPD (past)
• Courtney Randall, APRN

  • Acute Care Nurse Practitioner
  • Columbia, SC
  • NPI 1265041362
  NPD (past)
• Ilona Abramova, NP

  • Adult Health Nurse Practitioner
  • West Hills, CA
  • NPI 1588066179
  NPD (past)
• Micheal John Adcox, M.D.

  • Nephrology Physician
  • Boise, ID
  • NPI 1851345193
  NPD (past)
• Eugene Tan Aguilar, NURSE PRACTITIONER

  • Nurse Practitioner
  • Granada Hills, CA
  • NPI 1649718990
  NPD (past)
• Shiva Bakhtiari Ahmadi, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Costa Mesa, CA
  • NPI 1356873715
  NPD (past)
• Rizalina Albano, NP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chula Vista, CA
  • NPI 1811430820
  NPD (past)
• Annika Alvarez, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fallbrook, CA
  • NPI 1578215398
  NPD (past)
• Bashar Alzahabi, MD

  • Nephrology Physician
  • Effingham, IL
  • NPI 1467448456
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1598204802",
    "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",
            "telephone_number": "615-320-4593",
            "fax_number": "800-293-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 KELLEY ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602446",
            "telephone_number": "843-394-3847",
            "fax_number": "843-394-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "WINSTEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-733-4501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RE0088",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KELLEY CORNERS DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KELLEY CORNERS DIALYSIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrell Thomas
• James J Thomy, M.D.
• Lila Timmons
• Jill Rogers Tisdale
• Valeriya Torosian, OTR/L
• Touching Hearts Home Care Agency
• Trinity Intervention, LLC
• Ellen Patrice Turbeville Minter, MD
• Visio Perspectives Neuro Rehab Services LLC
• Timothy R. Wagner, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lake City, SC
• Providers in Lake City, SC by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.