Organization Active NPI

Usrc Richardson, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Richardson, TX
National Provider Identifier
1740675164
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC RICHARDSON, LLC
Practice address
3321 E Renner Rd
Richardson, TX 75082-1804
Phone
(927) 479-9401
Fax
(972) 479-9593
NPI assigned
Apr 2, 2015
Organization subpart
Yes
Parent organization
U.S. RENAL CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas L. Weinberg
Title
Authorized Official
Phone
(214) 736-2700

Specialties & licenses 1

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

Addresses

Primary practice location

3321 E Renner Rd
Richardson, TX 75082-1804

Mailing address

PO Box 19119
Jonesboro, AR 72403-6601
Phone (870) 831-5400

Other names 1

  • U.S. Renal Care Richardson Dialysis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902000656 TX Part A Provider - End-Stage Renal Disease Facility (ESRD) 6002122231 Practice locations: Richardson, TX

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
USRC RichardsonCCN 672846
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Apr 18, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Chain
US Renal Care, Inc.
Dialysis stations
13

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2097103Usrc Richardson, LLC3321 E Renner Road Suite 100, Richardson, TX 75082Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Locations

3321 E Renner Rd
Richardson, TX 75082
Phone (927) 479-9401

3321 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 479-9401

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1740675164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19119",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036601",
            "telephone_number": "870-831-5400",
            "fax_number": "870-931-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 E RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750821804",
            "telephone_number": "927-479-9401",
            "fax_number": "972-479-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC RICHARDSON, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. Renal Care Richardson Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.