Organization
TOTAL RENAL CARE, INC.
Active
Other names
Palm Coast 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
80 PINNACLES DR, STE 1000, PALM COAST, FL 32164-2916
(386) 586-7399
(386) 586-2975
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
—
020303200
—
FL
Enumeration date
01/13/2016
Last updated
02/13/2026
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