Organization Active NPI

Total Renal Care Inc

Doing business as Northeastern Colorado Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sterling, CO
National Provider Identifier
1770855900
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
120150 Issued in CO
Legal business name
TOTAL RENAL CARE INC
Doing business as
Northeastern Colorado Dialysis
Practice address
1329 East Main Street
Sterling, CO 80751-2834
Phone
(970) 616-2043
Fax
(970) 425-2039
NPI assigned
Feb 3, 2012
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Samuel Wey
Title
VP Licensure & Certification
Phone
(615) 341-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 120150 CO Primary

Addresses

Primary practice location

1329 East Main Street
Sterling, CO 80751-2834

Mailing address

5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 554-0595

Other identifiers 1

IdentifierTypeStateIssuer
1770855900MedicaidCO

Other names 1

  • Northeastern Colorado Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000232 CO Part A Provider - End-Stage Renal Disease Facility (ESRD) 8426965229 Practice locations: Sterling, CO

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
DaVita Northeastern Colorado DiaysisCCN 062577
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Apr 3, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Chain
DaVita
Dialysis stations
12

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
06D2039514Northeastern Colorado Dialysis1329 West Main St, Sterling, CO 80751Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

1329 W Main St
Sterling, CO 80751
Phone (970) 616-2043

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1770855900",
    "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": "615-554-0595",
            "fax_number": "800-279-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 EAST MAIN STREET",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807512834",
            "telephone_number": "970-616-2043",
            "fax_number": "970-425-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "SAMUEL",
        "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": "CO",
            "license": "120150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770855900",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeastern Colorado Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northeastern Colorado Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.