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

Mishawaka Dialysis

Practice address

1420 Trinity PL
Mishawaka, IN 46545-5005

Phone

(574) 243-3764

Fax

(574) 243-3583

NPI assigned

Oct 4, 2012

Last updated

Aug 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other names 1

• Mishawaka Dialysis Doing business as

Tax ID family

Mishawaka Dialysis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roushe Dialysis LLC

  dba Mishawaka Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mishawaka, IN
  • NPI 1376984443
  NPD tax ID

Locations

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1932451671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "800-467-4736",
            "fax_number": "615-320-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TRINITY PL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465455005",
            "telephone_number": "574-243-3764",
            "fax_number": "574-243-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mishawaka Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Tobias
• Heather Todd Duchesnau, MSW
• Robert L. Tokars, MD
• Maria Grace Tomlinson
• Chelsea Torres, BCBA
• Paula Toth-Russell, M.D.
• Abigail Nicole Toth
• Toxusa Labs LLC (ConnectDx Laboratories)
• Binh Nguyen Tran, MD
• Transitions Dental Company (University Meadows Family Dental)

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.