Organization
TOTAL RENAL CARE INC
Active
Other names
San Jose at Home
Organization subpart
No
Provider details
NPI number
Authorized official
SAM T WEY (VP LICENSURE&CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
4400 STEVENS CREEK BLVD, STE 50, SAN JOSE, CA 95129-1104
(408) 985-2011
(408) 985-2016
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
(615) 238-3085
(800) 268-9682
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083883664
—
CA
Enumeration date
02/27/2008
Last updated
02/05/2024
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