{"npi":"1912282005","type":"NPI-2","status":"active","name":{"display":"Total Renal Care INC","other":[],"organization_name":"TOTAL RENAL CARE INC","authorised_official":"Samuel Wey"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"301 OXBOW DR","city":"ALPENA","state":"MI","postal_code":"497071447","country_code":"US","phone":"9893563128","fax":"9893580072"},{"purpose":"MAILING","street_1":"5200 VIRGINIA WAY","city":"BRENTWOOD","state":"TN","postal_code":"370277569","country_code":"US","street_2":"ATT: L&C DEPT"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1912282005","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120323000100","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"MI","pac_id":"2365417888"}]},"enumeration_date":"2011-10-20","last_updated":"2024-05-23","_meta":{"source":"NPPES","snapshot_date":"2024-05-23","doc_url":"https://findmynpi.com/api"}}