TOTAL RENAL CARE INC NPI 1417234725

NPI Information

NPI: 1417234725
Provider Name: TOTAL RENAL CARE INC

Doing Business As: BUCKHEAD HOME TRAINING

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1575 NORTHSIDE DR NW
SUITE 355
ATLANTA, GA
ZIP 30318
Phone: (404) 352-1870
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TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Atlanta, GA. TOTAL RENAL CARE INC NPI is 1417234725. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckhead Home Training.

The provider's business location address is:

1575 NORTHSIDE DR NW
SUITE 355
ATLANTA, GA
ZIP 30318-210
Phone: (404) 352-1870
Fax: (404) 352-3107

The provider's authorized official is Samuel T Wey .
The authorized official title is Vice President, Licensure & Certifi and has the following contact phone number (615) 341-6641.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	ESRD001275	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11D2037095	OTHER	GEORGIA	CLIA
2	003125298A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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