Active NPI
Total Renal Care Inc
Doing business as Cape Coral South Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cape Coral, FL
National Provider Identifier
1962421131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- TOTAL RENAL CARE INC
- Doing business as
- Cape Coral South Dialysis
- Practice address
- 3040 Del Prado Blvd S
Cape Coral, FL 33904-7232 - Phone
- (239) 549-0339
- Fax
- (239) 549-1349
- NPI assigned
- Jul 19, 2006
- Last updated
- May 18, 2020
- 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
- John D Winstel
- Title
- Chief Accounting Officer, Treasurer
- Phone
- (253) 733-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
3040 Del Prado Blvd S
Cape Coral, FL 33904-7232
Mailing address
5200 Virginia Way
L&C Dept
Brentwood, TN 37027-7569
Phone (615) 320-4593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927430 00 | Medicaid | FL |
Other names 1
- Cape Coral South Dialysis
National Provider Directory
National Provider DirectoryLocations
3040 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 549-0339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1962421131",
"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": "615-320-4593",
"fax_number": "800-293-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339047232",
"telephone_number": "239-549-0339",
"fax_number": "239-549-1349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL RENAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "WINSTEL",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER, TREASURER",
"authorized_official_telephone_number": "253-733-4501"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927430 00",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Coral South Dialysis",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cape Coral South Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Coral, FL
- Yudiet Torres
- Richard J Torricelli, M.D.
- Rafael Emilio Toste de la Cruz
- Total Renal Care Inc (Cape Point Dialysis)
- Total Renal Care Inc (Cape Coral North Dialysis)
- Total Renal Care Inc. (Cape Coral Home Training)
- Total Vitality Health Care LLC
- Emily Christine Totman-Jarrett
- Devin Lamail Townsend
- Tradewinds Adult Medical Practice, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.