WILLOW CREEK DIALYSIS
NPI 1447540760
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Racine, WI

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

The NPI number for Total Renal Care Inc is 1447540760. It was assigned to this organization in the NPPES registry on April 8, 2011. The provider is doing business as Willow Creek 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 Willow Creek Dialysis 1 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since April 08, 2011CLIA 52D2027378 · Waiver

1/5

Overall Rating

1139 WARWICK WAY, RACINE, WI 53406(262) 884-2730(262) 884-2802 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Nov 3, 2020, Mar 3, 2020 and 1 more (4 updates tracked since 2019).

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About Willow Creek Dialysis NPPES

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

WILLOW CREEK DIALYSIS (NPI 1447540760) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Racine, Wisconsin and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1447540760

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE INC

Location Address1139 WARWICK WAYRacine, WI 53406-5661

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

Phone(262) 884-2730

Fax(262) 884-2802

Organization SubpartNo

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

Enumeration DateApril 8, 2011

Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1447540760 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

1139 WARWICK WAY, Racine, WI 53406

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Other Names 1

Doing Business AsWillow Creek Dialysis

Other Identifiers 1

Medicaid1447540760WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 52D2027378

Willow Creek Dialysis · Racine, WI

Active · expires Jul 21, 2027

CLIA Number52D2027378

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 22, 2025

Certificate Expiration DateJuly 21, 2027

Laboratory DirectorDr. Carlos Galvao-Sobrinho

Laboratory Phone(262) 884-2730

Laboratory LocationWillow Creek Dialysis1139 Warwick Way, Racine, WI 53406

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 Willow Creek Dialysis (CMS certification number 522584), from CMS Care Compare.

DaVita Willow Creek Dialysis

Dialysis facility · Racine, WI

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number522584

ESRD NetworkNetwork 11

Hemodialysis Stations12

Medicare-Certified SinceApril 1, 2003

Location1139 WARWICK WAYRacine, WI 53406 · Racine County

Phone(262) 884-2730

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES

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

WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC.

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

1139 WARWICK WAY
RACINE, WI 53406

Racine County (262) 687-7550

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 1447540760. It was assigned to this organization in the NPPES registry on April 8, 2011. The provider is doing business as Willow Creek Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1139 Warwick Way, Racine, WI 53406. The listed phone number is (262) 884-2730.

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 52D2027378) is associated with this NPI, valid through July 21, 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 Willow Creek Dialysis is a Medicare-certified dialysis facility, certified since April 1, 2003.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Willow Creek 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 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 July 18, 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.