Eagles Landing Dialysis

LBN: Total Renal Care Inc
Eagles Landing Dialysis is an health care organization with primary practice located at 270 Village Center Pkwy , Stockbridge GA 30281-9044. 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 (770) 389-8255, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
270 Village Center Pkwy Stockbridge GA 30281-9044
Phone: (770) 389-8255
Fax: (770) 389-3264
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1528584448
LBN Legal business name Total Renal Care Inc
DBA Doing business as Eagles Landing Dialysis
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2017
Last updated Sep 29th, 2023 - about last year

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 1528584448 NPPES
Georgia MEDICAID 003208352A

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