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

405 N Frederick
Magnolia, AR 71753-3116

Phone

(870) 626-3004

Fax

(870) 626-3377

NPI assigned

Jan 20, 2012

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

• Southwest Arkansas Dialysis Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Listed as

DaVita Southwest Arkansas DialysisCCN 042545

Overall star rating

3.0 of 5

Ownership

Profit

Certified

Jul 25, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Chain

DaVita

Dialysis stations

9

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
  • Springdale, AR
  • NPI 1740468644
  NPD tax ID

Locations

Affiliated clinicians 4

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

• Michael D Schonefeld, M.D.

  • Nephrology Physician
  • El Dorado, AR
  • NPI 1245210590

  Dialysis facility

  Care Compare affiliation Name & address match
• Muazer Ahmed, M.D

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1891113577

  Dialysis facility

  Care Compare affiliation Name & address match
• Jason Z Lee, MD

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1285634592

  Dialysis facility

  Care Compare affiliation Name & address match
• John O Stevens, MD

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1508886482

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1902177181",
    "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": "405 N FREDERICK",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533116",
            "telephone_number": "870-626-3004",
            "fax_number": "870-626-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "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": "196939134",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Arkansas Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Arkansas Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texarkana Eye Associates
• Texarkana Kidney Disease & Hypertension Center, Inc.
• Ann Keese Thomas, PHD
• Danicka Kashun Thomas
• Melody L Tobert
• Jason Ross Touchton, M.D.
• Deanna Tracy, LPC
• True Compassion Home Care LLC
• Twin Rivers Respiratory Care, Inc.
• United Methodist Behavioral Health System, Inc

• All providers in Magnolia, 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 9, 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.