VILLA OF ST JOHN – NPI #1770719700
Clinic/Center

VILLA OF ST JOHN is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1770719700 to VILLA OF ST JOHN on June 04, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VILLA OF ST JOHN” 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 previously updated about 8 years ago on Aug 24, 2018. 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 VILLA OF ST JOHN below.

NPI Profile for
TOTAL RENAL CARE INC

NPI Number
1770719700
Enumeration Date

(more than 17 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): VILLA OF ST JOHN
Primary location
9030 SAINT CHARLES ROCK RD
SAINT LOUIS, MO 63114
Phone: (314) 429-1724 Fax: (314) 427-6499
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 341-6765 Fax: (833) 782-9089
Organization Subpart
No
Authorized Official
JAMES HILGER
CHIEF ACCOUNTING OFFICER
Phone: (253) 733-4500
Updated
Identifiers

Identifiers for VILLA OF ST JOHN

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
MEDICAIDMO1770719700
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.