Total Renal Care INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in San Diego, CA. Organization (NPI-2).
NPI number1619707700
StatusActive
Last updated in NPPESAug 6, 2024
Details
- NPI
- 1619707700
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Renal Care INC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2024
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Hillcrest Home Training (Doing Business As)
Practice location
4033 3rd Ave Ste 310San Diego, CA 92103-2117
Phone 615-238-3085
Mailing address
5200 Virginia WayAttn: L&C Dept
Brentwood, TN 37027-7569
Phone 615-238-3085 · Fax 866-510-6389
Authorized official
Sam T Wey
Vp, Licensure And Certification
6153416691
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