Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Highland, IL

NPI number 1063996858 Active

Practice location

2491 Industrial Dr, Ste 200
Highland, IL 62249-1365

Call (618) 651-1393 Map

Fax (618) 651-1389

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1063996858
Entity type: Organization (Type 2)
Issued: Sep 18, 2018
Last updated: Jan 9, 2026
Status: Active

Other names

<unavail>
Northgrove Dialysis · doing business as
Northgrove Dialysis · doing business as

Authorized official

Samuel Wey
VP, Licensure & Certification
(615) 341-6641

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About NPI 1063996858

Total Renal Care Inc's National Provider Identifier is 1063996858, issued on Sep 18, 2018. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Highland, IL. The record was last updated on Jan 9, 2026.