Active NPI
Total Renal Care Inc
Doing business as Eastern Maine Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ellsworth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- License
- 38840
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- Eastern Maine Dialysis
- Practice address
- 11 Short St
Ellsworth, ME 04605-1718 - Phone
- (207) 667-9294
- Fax
- (207) 667-9414
- NPI assigned
- Nov 6, 2012
- Last updated
- Jun 19, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 38840 | ME | Primary |
Addresses
Primary practice location
11 Short St
Ellsworth, ME 04605-1718
Mailing address
5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922352301 | Medicaid | ME |
Other names 1
- Eastern Maine Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121214000011 | ME | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 8426965229 | Practice locations: Ellsworth, ME |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- DaVita Eastern Maine Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 1, 2012
- Medicare certification status
- Active
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0956298 | Eastern Maine Dialysis | Provider-performed microscopy | Jan 24, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Hernando Kidney Center
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bangor, ME
- NPI 1588654479
-
dba Lincoln Lakes Regional Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lincoln, ME
- NPI 1346594769
-
dba Brewer Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brewer, ME
- NPI 1982106597
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750291200000",
"number": "1922352301",
"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": "11 SHORT ST",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051718",
"telephone_number": "207-667-9294",
"fax_number": "207-667-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"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": "ME",
"license": "38840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922352301",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern Maine Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eastern Maine Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ellsworth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.