San Jose At Home

LBN: Total Renal Care Inc
San Jose At Home is an health care organization with primary practice located at 4400 Stevens Creek Blvd Ste 50, San Jose CA 95129-1104. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Total Renal Care Inc can be contacted via phone (408) 985-2011, or through Wey, Sam T via phone (615) 341-6641.

Contact Information

Primary practice address
4400 Stevens Creek Blvd Ste 50 San Jose CA 95129-1104
Phone: (408) 985-2011
Fax: (408) 985-2016
Website:
Map and Directions
Authorized official contact:
Name: Wey, Sam T
Phone: (615) 341-6641

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1083883664
LBN Legal business name Total Renal Care Inc
DBA Doing business as San Jose At Home
Authorized official Wey, Sam T
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 5th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083883664 NPPES
California MEDICAID 1083883664

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