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Total Renal Care INC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in South Bend, IN. Organization (NPI-2).

NPI number1982008355
StatusActive
Last updated in NPPESMar 2, 2026

Details

NPI
1982008355
Entity type
Organization (NPI-2)
Legal business name
Total Renal Care INC
Organization subpart
No
Enumeration date
Oct 14, 2014
Certification date
Mar 2, 2026
Last updated
Mar 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Irish Dialysis (Doing Business As)

Practice location

4350 S Ironwood Dr
South Bend, IN 46614-0001

Phone 574-299-4529 · Fax 574-299-4737

Mailing address

5200 Virginia Way
Att: L&C Dept
Brentwood, TN 37027-7569

Authorized official

Samuel T Wey
Vp Licensure & Certification
6153416641

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