CYPRESS GARDENS DIALYSIS – NPI #1376931154
Clinic/Center

CYPRESS GARDENS DIALYSIS is an AHC clinic located in SUMTER, SC. NPPES has assigned the NPI number 1376931154 to CYPRESS GARDENS DIALYSIS on January 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CYPRESS GARDENS DIALYSIS” is a dba name, the actual legal business name for this organization is TOTAL RENAL CARE INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was last updated on Nov 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CYPRESS GARDENS DIALYSIS below.

NPI Profile for
TOTAL RENAL CARE INC

NPI Number
1376931154
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TOTAL RENAL CARE INC
Doing Business As (dba): CYPRESS GARDENS DIALYSIS
Primary location
418 BROAD ST
SUMTER, SC 29150
Phone: (803) 418-5129 Fax: (803) 418-0722
Mailing address
5200 VIRGINIA WAY
L&C DEPARTMENT
BRENTWOOD, TN 37027-7569
Phone: Fax:
Organization Subpart
No
Authorized Official
SAMUEL WEY
VP LICENSURE&CERTIFICATION
Phone: (615) 341-6641
Updated
Certification Date
Nov 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CYPRESS GARDENS DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherSTATE LICENSESCERD-0220
medicaidSCRE0071
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.