Organization
TOTAL RENAL CARE INC
Active
Other names
Windham Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
375 TUCKIE RD, STE C, NORTH WINDHAM, CT 06256-1345
(860) 456-1677
(860) 450-8403
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
0278
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270310
—
CT
Enumeration date
06/09/2006
Last updated
01/29/2026
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