Organization
TOTAL RENAL CARE INC
Active
Other names
Grandview Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL T WEY (VP LICENSURE & CERTIFICATION)
(615) 341-6641
Entity
Organization
Contact information
Practice address
13812 S US HIGHWAY 71, GRANDVIEW, MO 64030-3685
(816) 763-1179
(816) 763-1390
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
—
1851693592
—
MO
Enumeration date
12/01/2010
Last updated
02/18/2026
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