Organization
TOTAL RENAL CARE INC
Active
Other names
Northgrove Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
2491 INDUSTRIAL DR, STE 200, HIGHLAND, IL 62249-1365
(618) 651-1393
(618) 651-1389
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
01/09/2026
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