STATE FAIR DIALYSIS
NPI 1285942409
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Detroit, MI

Q: What is Total Renal Care Inc's NPI number?

The NPI number for Total Renal Care Inc is 1285942409. It was assigned to this organization in the NPPES registry on September 22, 2010. The provider is doing business as State Fair Dialysis.

Q: 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.

Q: What quality rating does Total Renal Care Inc have?

CMS rates DaVita State Fair Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since September 22, 2010CLIA 23D2016752 · Waiver

1/5

Overall Rating

19800 WOODWARD AVE, DETROIT, MI 48203(313) 893-8610(313) 893-8865 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Jul 6, 2023, Aug 21, 2020 and 3 more (6 updates tracked since 2018).

On this page

About State Fair Dialysis NPPES

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

STATE FAIR DIALYSIS (NPI 1285942409) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Detroit, Michigan and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1285942409

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE INC

Location Address19800 WOODWARD AVEDetroit, MI 48203-5102

Mailing Address5200 Virginia Way, Att: L&c DepartmentBrentwood, TN 37027-7569

Phone(313) 893-8610

Fax(313) 893-8865

Organization SubpartNo

Authorized OfficialSamuel T WeyVp Licensure & Certification · (615) 341-6641

Enumeration DateSeptember 22, 2010

Last NPPES UpdateApril 29, 20246 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1285942409 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

19800 WOODWARD AVE, Detroit, MI 48203

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Other Names 1

Doing Business AsState Fair Dialysis

Other Identifiers 1

Medicaid1285942409MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D2016752

State Fair Dialysis · Detroit, MI

Active · expires Nov 23, 2026

CLIA Number23D2016752

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateNovember 24, 2024

Certificate Expiration DateNovember 23, 2026

Laboratory DirectorXiaoping Huang

Laboratory Phone(313) 893-8610

Laboratory LocationState Fair Dialysis19800 Woodward Ave, Detroit, MI 48203

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 State Fair Dialysis (CMS certification number 232578), from CMS Care Compare.

DaVita State Fair Dialysis

Dialysis facility · Detroit, MI

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number232578

ESRD NetworkNetwork 11

Hemodialysis Stations21

Medicare-Certified SinceSeptember 16, 1999

Location19800 WOODWARD AVEDetroit, MI 48203 · Wayne County

Phone(313) 893-8610

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES 2

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

DR. RACHEL DONALDSON M.D.

Internal Medicine (Nephrology)

19800 WOODWARD AVE
DETROIT, MI 48203

Wayne County (313) 893-8610

AFTON NEPHROLOGY ASSOCIATES

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

19800 WOODWARD AVE
DETROIT, MI 48203

Wayne County (313) 893-8610

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 1285942409. It was assigned to this organization in the NPPES registry on September 22, 2010. The provider is doing business as State Fair Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 19800 Woodward Ave, Detroit, MI 48203. The listed phone number is (313) 893-8610.

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 23D2016752) is associated with this NPI, valid through November 23, 2026. 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 State Fair Dialysis is a Medicare-certified dialysis facility, certified since September 16, 1999.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita State Fair Dialysis 1 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 from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers 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 April 29, 2024. 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.