JEFFERSON AVENUE DIALYSIS
NPI 1124350723
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Newport News, VA

Active since February 05, 2010
11234 JEFFERSON AVE, NEWPORT NEWS, VA 23601(757) 595-6167(757) 595-6210 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2023, Dec 21, 2022, Feb 24, 2021 and 1 more (4 updates tracked since 2018).

About Jefferson Avenue Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFERSON AVENUE DIALYSIS (NPI 1124350723) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Newport News, Virginia and active in the NPI registry since February 2010. The organization lists Samuel Wey, Sr. Dir. Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1124350723
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address11234 JEFFERSON AVENewport News, VA 23601-2207
Mailing Address5200 Virginia Way, L&c Dept.Brentwood, TN 37027-7569 · (615) 320-4214 · Fax (866) 944-3352
Fax(757) 595-6210
Organization SubpartNo
Authorized OfficialSamuel WeySr. Dir. Licensure & Certification · (615) 341-6641
Enumeration DateFebruary 5, 2010
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1124350723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
11234 JEFFERSON AVE, Newport News, VA 23601

Other Names 1

Doing Business AsJefferson Avenue Dialysis

Other Identifiers 1

Medicaid1124350723VA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11234 JEFFERSON AVE, STE B
NEWPORT NEWS, VA 23601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1124350723. It was assigned to this organization in the NPPES registry on February 5, 2010. The provider is doing business as Jefferson Avenue Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 11234 Jefferson Ave, Newport News, VA 23601. The listed phone number is (757) 595-6167.

What is Total Renal Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.