BOUNTIFUL DIALYSIS
NPI 1184387516
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bountiful, UT

Active since October 21, 2021CLIA 46D0953427 · Waiver
532 S 500 W, BOUNTIFUL, UT 84010(385) 300-2657(385) 489-0294 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Oct 9, 2023, Mar 30, 2023 and 2 more (5 updates tracked since 2021).

About Bountiful Dialysis NPPES

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

BOUNTIFUL DIALYSIS (NPI 1184387516) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bountiful, Utah and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1184387516
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE, INC.
Location Address532 S 500 WBountiful, UT 84010-7208
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(385) 489-0294
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateOctober 21, 2021
Last NPPES UpdateSeptember 27, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1184387516 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
532 S 500 W, Bountiful, UT 84010

Other Names 1

Doing Business AsBountiful 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 46D0953427

Bountiful Dialysis · Bountiful, UT
Active · expires Nov 1, 2026
CLIA Number46D0953427
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorRobert Yenchek
Laboratory Phone(801) 299-3470
Laboratory LocationBountiful Dialysis532 S 500 W, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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)
532 S 500 W
BOUNTIFUL, UT 84010

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 1184387516. It was assigned to this organization in the NPPES registry on October 21, 2021. The provider is doing business as Bountiful Dialysis.

Where is Total Renal Care, Inc. located?

Total Renal Care, Inc. is located at 532 S 500 W, Bountiful, UT 84010. The listed phone number is (385) 300-2657.

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 46D0953427) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Total Renal Care, Inc. accept?

Health plans from Imperial Health Plan of the Southwest, Inc., Select Health, UnitedHealthcare and University of Utah Health Plans 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 September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.