Provider Type Icon

TOTAL RENAL CARE INC NPI 1417258245


NPI Information

NPI: 1417258245
Provider Name: TOTAL RENAL CARE INC

Doing Business As: ADVANCED DIALYSIS CENTER OF FORT LAUDERDALE

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 44D0940011

Address:
911 E OAKLAND PARK BLVD
OAKLAND PARK, FL
ZIP 33334
Phone: (954) 318-7000
Get Directions

TOTAL RENAL CARE INC is an end-stage renal disease (esrd) treatment clinic center in Oakland Park, FL. TOTAL RENAL CARE INC NPI is 1417258245. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Dialysis Center Of Fort Lauderdale.

The provider's business location address is:

911 E OAKLAND PARK BLVD
OAKLAND PARK, FL
ZIP 33334-725
Phone: (954) 318-7000
Fax: (954) 318-7001

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 44D0940011 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/10/2010 and was last updated on 3/16/2021.


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) TreatmentYes

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
1003368400MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.