EDGEWATER DIALYSIS
NPI 1154997591
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Rockfrd, IL

Active since May 27, 2021CLIA 14D2235454 · Waiver
3/5
Overall Rating
615 HARRISON AVE, ROCKFRD, IL 61104(779) 269-2981(779) 269-3001 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2023, May 27, 2021 (2 updates tracked since 2021).

About Edgewater Dialysis NPPES

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

EDGEWATER DIALYSIS (NPI 1154997591) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Rockfrd, Illinois and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1154997591
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address615 HARRISON AVERockfrd, IL 61104-7052
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Fax(779) 269-3001
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateMay 27, 2021
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1154997591 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
615 HARRISON AVE, Rockfrd, IL 61104

Other Names 1

Doing Business AsEdgewater Dialysis

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2235454

Edgewater Dialysis Total Renal Care Inc · Rockford, IL
Active · expires Sep 8, 2027
CLIA Number14D2235454
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorSyed Mustafa Ahmed M D
Laboratory Phone(610) 336-8350
Laboratory LocationEdgewater Dialysis Total Renal Care Inc615 Harrison Ave, Rockford, IL 61104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for DaVita Edgewater Dialysis (CMS certification number 142879), from CMS Care Compare.

DaVita Edgewater Dialysis

Dialysis facility · Rockford, IL
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number142879
ESRD NetworkNetwork 10
Hemodialysis Stations8
Medicare-Certified SinceJuly 11, 2022
Location615 Harrison AveRockford, IL 61104 · Winnebago County
Services Offered
In-center hemodialysis

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 1154997591. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Edgewater Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 615 Harrison Ave, Rockfrd, IL 61104. The listed phone number is (779) 269-2981.

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.

Does Total Renal Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2235454) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Inc a Medicare-certified dialysis facility?

Yes. DaVita Edgewater Dialysis is a Medicare-certified dialysis facility, certified since July 11, 2022.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Edgewater Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Total Renal Care Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Total Renal Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.