GREEN LAKE COUNTY DIALYSIS
NPI 1235513912
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Berlin, WI

Active since July 13, 2015CLIA 52D2102510 · Waiver
3/5
Overall Rating
432 OAK ST, BERLIN, WI 54923(920) 361-1177(920) 361-1435 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Feb 17, 2023, Sep 9, 2020 and 2 more (5 updates tracked since 2016).

About Green Lake County Dialysis NPPES

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

GREEN LAKE COUNTY DIALYSIS (NPI 1235513912) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Berlin, Wisconsin and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1235513912
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address432 OAK STBerlin, WI 54923-1204
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Fax(920) 361-1435
Organization SubpartNo
Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateJuly 13, 2015
Last NPPES UpdateOctober 10, 20245 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
NPI 1235513912 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
432 OAK ST, Berlin, WI 54923

Other Names 1

Doing Business AsGreen Lake County 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 52D2102510

Green Lake County Dialysis · Berlin, WI
Active · expires Sep 23, 2027
CLIA Number52D2102510
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorDr. Edward Lake
Laboratory Phone(920) 361-1177
Laboratory LocationGreen Lake County Dialysis432 Oak St, Berlin, WI 54923
CLIA data matches this NPI record on: Address Name Phone
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 Green Lake County Dialysis (CMS certification number 522605), from CMS Care Compare.

DaVita Green Lake County Dialysis

Dialysis facility · Berlin, WI
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number522605
ESRD NetworkNetwork 11
Hemodialysis Stations12
Medicare-Certified SinceFebruary 25, 2016
Location432 OAK STBerlin, WI 54923 · Green Lake County
Services Offered
In-center hemodialysis Peritoneal dialysis

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 1235513912. It was assigned to this organization in the NPPES registry on July 13, 2015. The provider is doing business as Green Lake County Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 432 Oak St, Berlin, WI 54923. The listed phone number is (920) 361-1177.

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 52D2102510) is associated with this NPI, valid through September 23, 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 Green Lake County Dialysis is a Medicare-certified dialysis facility, certified since February 25, 2016.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Green Lake County 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, Anthem Blue Cross and Blue Shield and HealthPartners and 1 other insurer 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 October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.