Organization · Type 2 NPI

Total Renal Care Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Philadelphia, PA

NPI number 1497004113 Active

Practice location

9475 Roosevelt Blvd, Ste 9
Philadelphia, PA 19114-2212

Call (215) 673-0490 Map

Fax (215) 677-3152

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...

31 other providers at this address

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NPI record

NPI: 1497004113
Entity type: Organization (Type 2)
Issued: Sep 10, 2012
Last updated: Aug 13, 2026
Status: Active

Other names

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Grant One Dialysis · doing business as
Grant One Dialysis · doing business as

Authorized official

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

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About NPI 1497004113

Total Renal Care Inc's National Provider Identifier is 1497004113, issued on Sep 10, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 13, 2026.