Total Renal Care Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

TOTAL RENAL CARE INC

Practice address

2070 McKenzie Rd
Ste B
Springdale, AR 72762-0870

Phone

(479) 927-1957

Fax

(479) 751-0523

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Springdale Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

DaVita Springdale DialysisCCN 042568

Overall star rating

2.0 of 5

Ownership

Profit

Certified

Jul 3, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

16

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Davita Upstate Dialysis758 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Texarkana, AR
  • NPI 1083984082
  NPD tax ID
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fayetteville, AR
  • NPI 1295913416
  NPD tax ID
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bentonville, AR
  • NPI 1306024294
  NPD tax ID
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Magnolia, AR
  • NPI 1902177181
  NPD tax ID

Locations

Affiliated clinicians 4

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

• Shamsul Alam, M.D.

  • Nephrology Physician
  • Bentonville, AR
  • NPI 1912953373

  Dialysis facility

  Care Compare affiliation Name & address match
• David Edward Henderson, M.D.

  • Nephrology Physician
  • Springdale, AR
  • NPI 1356873665

  Dialysis facility

  Care Compare affiliation Name & address match
• John Christopher Hey, MD

  • Nephrology Physician
  • Springdale, AR
  • NPI 1205862141

  Dialysis facility

  Care Compare affiliation Name & address match
• Avin D Rekhi, M.D.

  • Nephrology Physician
  • Springdale, AR
  • NPI 1619959228

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1740468644",
    "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",
            "telephone_number": "615-320-4268",
            "fax_number": "877-238-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 MCKENZIE RD",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620870",
            "telephone_number": "479-927-1957",
            "fax_number": "479-751-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "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": "168259134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springdale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Springdale Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin M Tolson, PHARM.D.
• Lauren Jean Tomasko, MHPP
• Rachel Toomer, MS, LPC, LMFT
• Gretchen T Torres, PT
• Total Diagnostix Inc
• Totem Health PLLC
• Matthew B. Totten, MD
• Mary Lynn Tougaw-Plummer, LCSW
• Jonna Townsend, LMT
• Lydia Townsend, DC

• All providers in Springdale, AR
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.

Verify at the official NPI Registry.