Total Renal Care Inc

Primary specialty

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

Legal business name

TOTAL RENAL CARE INC

Doing business as

Gulf Islands Home Training

Practice address

3200 Mallett Rd
Ste F
D'Iberville, MS 39540-9305

Phone

(228) 354-9578

Fax

(228) 354-9580

NPI assigned

Jan 6, 2016

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

• Gulf Islands Home Training Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Listed as

DaVita Gulf Islands HT at HomeCCN 252583

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jun 20, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

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

Springdale Dialysis758 organizations share this tax ID, including this one

Locations

Affiliated clinicians 2

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

• Tracy B Pittman, M.D.

  • Nephrology Physician
  • Ocean Springs, MS
  • NPI 1942207014

  Dialysis facility

  Care Compare affiliation Name & address match
• Hristo Shivarov, M.D.

  • Nephrology Physician
  • Ocean Springs, MS
  • NPI 1245639939

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1891151817",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MALLETT RD",
            "address_2": "STE F",
            "city": "D'IBERVILLE",
            "state": "MS",
            "postal_code": "395409305",
            "telephone_number": "228-354-9578",
            "fax_number": "228-354-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "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": "09604862",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Islands Home Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Islands Home Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianna Michelle Thomas, NP-C
• Crystal Thompson
• Melissa Tindol, RN
• Kaela Tong, FNP
• Milton Eduardo Torres Caban, DMD
• Christina Tran
• Doan Khanh Tran, D.M.D
• Debra L Traughber, LPC-S, ACS
• Debra Scardino Treutel, RPH
• Melissa Wilson Tucker, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.