Organization
TOTAL RENAL CARE, INC.
Active
Other names
Archway Modesto Home Training
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T. WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3001 HEALTH CARE WAY, BLDG 200, MODESTO, CA 95356-8509
(209) 543-1721
(209) 543-1750
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295166965
—
CA
Enumeration date
12/06/2013
Last updated
10/27/2025
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