Organization
TOTAL RENAL CARE INC
Active
Other names
Glenarden Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (VP, LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
9701 PHILADELPHIA CT, STE A, LANHAM, MD 20706-4431
(301) 918-3830
(301) 306-5129
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
E2699
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424291200
—
MD
01
—
E2699
STATE LICENSE
MD
Enumeration date
05/01/2015
Last updated
03/12/2026
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