BENTONVILLE DIALYSIS
NPI 1306024294
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bentonville, AR

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

The NPI number for Total Renal Care Inc is 1306024294. It was assigned to this organization in the NPPES registry on February 4, 2008. The provider is doing business as Bentonville 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 Bentonville Dialysis 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since February 04, 2008CLIA 04D0922944 · Waiver

3/5

Overall Rating

1104 SE 30TH ST, BENTONVILLE, AR 72712(479) 657-6220(479) 657-6229 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Mar 5, 2021, Mar 10, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Bentonville Dialysis NPPES

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

BENTONVILLE DIALYSIS (NPI 1306024294) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bentonville, Arkansas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Samuel T. Wey, Vp, Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1306024294

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE INC

Location Address1104 SE 30TH STBentonville, AR 72712-4290

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569

Phone(479) 657-6220

Fax(479) 657-6229

Organization SubpartNo

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

Enumeration DateFebruary 4, 2008

Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1306024294 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

1104 SE 30TH ST, Bentonville, AR 72712

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Other Names 1

Doing Business AsBentonville Dialysis

Other Identifiers 3

Medicaid168262134AR

Medicaid1317675LA

Medicaid100757230COK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 04D0922944

Bentonville Dialysis · Bentonville, AR

Active · expires Dec 9, 2026

CLIA Number04D0922944

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorDr. Shamsul Alam

Laboratory Phone(479) 657-6220

Laboratory LocationBentonville Dialysis1104 SE 30th St, Bentonville, AR 72712

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 Bentonville Dialysis (CMS certification number 042540), from CMS Care Compare.

DaVita Bentonville Dialysis

Dialysis facility · Bentonville, AR

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number042540

ESRD NetworkNetwork 13

Hemodialysis Stations21

Medicare-Certified SinceJanuary 1, 1996

Location1104 SE 30TH STBentonville, AR 72712 · Benton County

Phone(479) 657-6220

Services Offered

In-center hemodialysis Peritoneal dialysis Home hemodialysis training

Other Providers at the Same Location NPPES

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

NORTHWEST ARKANSAS RENAL DIALYSIS ASSOCIATES

Internal Medicine (Nephrology)

1104 SE 30TH ST
BENTONVILLE, AR 72712

Benton County (479) 657-6220

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 1306024294. It was assigned to this organization in the NPPES registry on February 4, 2008. The provider is doing business as Bentonville Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1104 SE 30th St, Bentonville, AR 72712. The listed phone number is (479) 657-6220.

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 04D0922944) is associated with this NPI, valid through December 9, 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 Bentonville Dialysis is a Medicare-certified dialysis facility, certified since January 1, 1996.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Bentonville 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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 8 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 January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.