Lake St Louis At Home

LBN: Total Renal Care Inc
Lake St Louis At Home is an health care organization with primary practice located at 200 Brevco Plz Ste 202, Lake Saint Louis MO 63367-2950. 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 (636) 625-4460, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
200 Brevco Plz Ste 202 Lake Saint Louis MO 63367-2950
Phone: (636) 625-4460
Fax: (636) 625-4463
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel 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 1396074597
LBN Legal business name Total Renal Care Inc
DBA Doing business as Lake St Louis At Home
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2009
Last updated Mar 21st, 2024 - about 8 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 1396074597 NPPES
Missouri MEDICAID 1396074597

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