St. Augustine Home Training

LBN: Total Renal Care, Inc.
St. Augustine Home Training is an health care organization with primary practice located at 252 Southpark Cir E , Saint Augustine FL 32086-5137. 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 (904) 823-1594, or through Wey, Samuel via phone (615) 341-6641.

Contact Information

Primary practice address
252 Southpark Cir E Saint Augustine FL 32086-5137
Phone: (904) 823-1594
Fax: (904) 808-1437
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 1760892459
LBN Legal business name Total Renal Care, Inc.
DBA Doing business as St. Augustine Home Training
Authorized official Wey, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2014
Last updated May 21st, 2024 - about 6 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 1760892459 NPPES
Florida MEDICAID 013885600

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