Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Joliet, IL. Organization (NPI-2).
Details
- NPI
- 1134489917
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- May 25, 2012
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Renal Center West Joliet (Doing Business As)
Practice location
1051 Essington RdSte 160
Joliet, IL 60435-2893
Phone 815-725-3275 · Fax 815-725-3833
Mailing address
5200 Virginia WayL & C Dept
Brentwood, TN 37027-7569
Authorized official
Samuel T Wey
Vp Licensure & Certification
6153416641
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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