TOTAL RENAL CARE INC NPI 1376503581

NPI Information

  • NPI: 1376503581
  • Provider Name: TOTAL RENAL CARE INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • :
  • CLIA Number: 21D0989186
  • Address: 113 WEST RD
    STE 201
    TOWSON, MD
    ZIP 21204
  • Phone: (410) 825-3690

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NPI Details

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Towson, MD. TOTAL RENAL CARE INC NPI is 1376503581. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

113 WEST RD
STE 201
TOWSON, MD
ZIP 21204-318
Phone: (410) 825-3690
Fax: (410) 825-3697

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

The CLIA number assigned to this NPI record is 21D0989186 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 11/4/2025.

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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentE2612MARYLANDYes

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
1713202600MEDICAIDMARYLAND

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: 11/21/2025

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