NPIMap

Total Renal Care of North Carolina LLC

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

NPI 1639138183 · NPPES record last updated Nov 13, 2025

Key facts

NPI
1639138183
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
323 W Main St
Biscoe, NC 27209-9528
Phone
(910) 428-4052
Fax
(910) 428-4535
NPI assigned
Mar 22, 2006
Organization subpart
No

Authorized official

Name
Samuel 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.

Affiliated clinicians 3

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

Medicare Care Compare: Dialysis facility

Listed as
DaVita Dialysis Care of Montgomery County CCN 342583
Overall star rating
★★☆☆☆ 2.0 of 5
Ownership
Profit
Certified
Jul 17, 1995
Medicare certification status
Active (Provider of Services file)
Chain
DaVita
Dialysis stations
20

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

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
34D0904571Dialysis Care of Montgomery County
323 West Main St, Biscoe, NC 27209		Certificate of waiverAug 22, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080109000903 NC Part a Provider - End-Stage Renal Disease Facility (ESRD) 7911815592 Practice locations: Biscoe, NC

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

323 W Main St
Biscoe, NC 27209-9528

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3412583MedicaidNC

Other names

  • Dialysis Care of Montgomery County Doing business as

Other providers in Biscoe, NC

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

Sources for this page

Verify at the official NPI Registry.