Active NPI
TRC - Indiana LLC
Doing business as Comprehensive Renal Care Michigan City
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TRC - INDIANA LLC
- Doing business as
- Comprehensive Renal Care Michigan City
- Practice address
- 9836 W 400 N
Michigan City, IN 46360-2910 - Phone
- (219) 878-1989
- Fax
- (219) 878-9569
- NPI assigned
- Apr 11, 2006
- Last updated
- Aug 19, 2026
- 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
- Samuel T Wey
- Title
- VP Licensure & Certification
- Phone
- (615) 341-6641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
9836 W 400 N
Michigan City, IN 46360-2910
Mailing address
5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200315330D | Medicaid | IN | |
| 4355783 | Medicaid | MI |
Other names 1
- Comprehensive Renal Care Michigan City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030602000038 | IN | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8729998109 | Practice locations: Michigan City, IN |
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Merrillville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Merrillville, IN
- NPI 1124082680
8729998109
-
dba Comprehensive Renal Care Hammond
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hammond, IN
- NPI 1215990965
8729998109
-
dba Comprehensive Renal Care East Chicago
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Chicago, IN
- NPI 1578526216
8729998109
-
dba Comprehensive Renal Care Munster
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Munster, IN
- NPI 1699738484
8729998109
-
dba Comprehensive Renal Care Gary
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gary, IN
- NPI 1952364648
8729998109
-
dba Tell City Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tell City, IN
- NPI 1982668455
8729998109
-
dba Comprehensive Renal Care Valparaiso
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Valparaiso, IN
- NPI 1457314171
8729998109
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Comprehensive Renal Care - Michigan City
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 1, 1997
- Medicare certification status
- Active
- Chain
- DaVita
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0925471 | Comprehensive Renal Care - Michigan City | Certificate of waiver | Feb 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- TRC - Indiana LLC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Merrillville Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Merrillville, IN
- NPI 1124082680
-
dba Comprehensive Renal Care Hammond
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hammond, IN
- NPI 1215990965
-
dba Comprehensive Renal Care East Chicago
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- East Chicago, IN
- NPI 1578526216
-
dba Comprehensive Renal Care Munster
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Munster, IN
- NPI 1699738484
-
dba Comprehensive Renal Care Gary
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Gary, IN
- NPI 1952364648
-
dba Tell City Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tell City, IN
- NPI 1982668455
-
dba Comprehensive Renal Care Valparaiso
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Valparaiso, IN
- NPI 1457314171
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba St Louis Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1942261482
Member Of
-
dba Cerritos Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1255681011
Member Of
-
dba Keys Gate Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Homestead, FL
- NPI 1578992558
Member Of
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1659334431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 VIRGINIA WAY",
"address_2": "ATT: 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": "9836 W 400 N",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463602910",
"telephone_number": "219-878-1989",
"fax_number": "219-878-9569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRC - INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"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": "200315330D",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4355783",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Renal Care Michigan City",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Comprehensive Renal Care Michigan City",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.