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O'FALLON MISSOURI DIALYSIS
NPI 1386879898
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in O Fallon, MO

Active since May 28, 2009CLIA 26D1104207 · Waiver
3/5
Overall Rating
4663 HIGHWAY K, O FALLON, MO 63368(636) 324-1617(636) 321-0483 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2024, Jun 10, 2024, Jun 5, 2024 and 5 more (8 updates tracked since 2018).

About O'fallon Missouri Dialysis NPPES

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

O'FALLON MISSOURI DIALYSIS (NPI 1386879898) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in O Fallon, Missouri and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Sam T Wey, Vp Licensure And Certification, as its authorized official.

NPPES Registry Identity

NPI1386879898
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address4663 HIGHWAY KO Fallon, MO 63368-8690
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569
Phone(636) 324-1617
Fax(636) 321-0483
Organization SubpartNo
Authorized OfficialSam T WeyVp Licensure And Certification · (615) 341-6641
Enumeration DateMay 28, 2009
Last NPPES UpdateNovember 7, 20248 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1386879898 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
4663 HIGHWAY K, O Fallon, MO 63368
Open in Google Maps ↗

Other Names 1

Doing Business AsO'fallon Missouri Dialysis

Other Identifiers 1

Medicaid1386879898MO

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 Sunflower Health Plan 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 26D1104207

O'fallon Missouri Dialysis · O Fallon, MO
Active · expires Aug 26, 2027
CLIA Number26D1104207
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorHenrikas Juknis
Laboratory Phone(636) 329-0697
Laboratory LocationO'fallon Missouri Dialysis4663 Highway K, O Fallon, MO 63368
CLIA data matches this NPI record on: Address 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 Villa of Waterbury (CMS certification number 262636), from CMS Care Compare.

DaVita Villa of Waterbury

Dialysis facility · O Fallon, MO
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number262636
ESRD NetworkNetwork 12
Hemodialysis Stations6
Medicare-Certified SinceOctober 5, 2009
Location929 Waterbury Falls DriveO Fallon, MO 63368 · Saint Charles County
Phone(636) 329-0697
Services Offered
In-center hemodialysis

Other Providers at the Same Location NPPES 3

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

BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4663 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 300-4036
MRS. KEATON ELAINE COLEMAN LCSW
Social Worker (Clinical)
4663 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 538-8619
FRESENIUS MEDICAL CARE OF O'FALLON
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4663 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 300-4036

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 1386879898. It was assigned to this organization in the NPPES registry on May 28, 2009. The provider is doing business as O'fallon Missouri Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 4663 Highway K, O Fallon, MO 63368. The listed phone number is (636) 324-1617.

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 26D1104207) is associated with this NPI, valid through August 26, 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 Villa of Waterbury is a Medicare-certified dialysis facility, certified since October 5, 2009.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Villa of Waterbury 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 Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 10 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 November 7, 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.