JERSEYVILLE DIALYSIS
NPI 1558666107
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jerseyville, IL

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

The NPI number for Total Renal Care Inc is 1558666107. It was assigned to this organization in the NPPES registry on January 12, 2011. The provider is doing business as Jerseyville 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 Jerseyville Dialysis 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since January 12, 2011CLIA 14D1021243 · Waiver

2/5

Overall Rating

917 S STATE ST, JERSEYVILLE, IL 62052(618) 498-9532(618) 498-1012 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2024, Feb 5, 2024, Nov 8, 2023 and 4 more (7 updates tracked since 2018).

On this page

About Jerseyville Dialysis NPPES

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

JERSEYVILLE DIALYSIS (NPI 1558666107) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jerseyville, Illinois and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 15, 2028 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1558666107

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE INC

Location Address917 S STATE STJerseyville, IL 62052-2344

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

Phone(618) 498-9532

Fax(618) 498-1012

Organization SubpartNo

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

Enumeration DateJanuary 12, 2011

Last NPPES UpdateAugust 20, 20247 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1558666107 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

917 S STATE ST, Jerseyville, IL 62052

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Other Names 1

Doing Business AsJerseyville Dialysis

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 14D1021243

Jerseyville Dialysis Total Renal Care Inc · Jerseyville, IL

Active · expires Jan 15, 2028

CLIA Number14D1021243

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJanuary 16, 2026

Certificate Expiration DateJanuary 15, 2028

Laboratory DirectorMeher S. Mallick

Laboratory Phone(618) 498-9532

Laboratory LocationJerseyville Dialysis Total Renal Care Inc917 S State St, Jerseyville, IL 62052

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 Jerseyville Dialysis (CMS certification number 142636), from CMS Care Compare.

DaVita Jerseyville Dialysis

Dialysis facility · Jerseyville, IL

2/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number142636

ESRD NetworkNetwork 10

Hemodialysis Stations17

Medicare-Certified SinceMarch 31, 2003

Location917 SOUTH STATEJerseyville, IL 62052 · Jersey County

Phone(618) 498-9532

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.

JCH DIAYSIS CENTER, LLC

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

917 S STATE ST
JERSEYVILLE, IL 62052

Jersey County (618) 498-6402

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 1558666107. It was assigned to this organization in the NPPES registry on January 12, 2011. The provider is doing business as Jerseyville Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 917 S State St, Jerseyville, IL 62052. The listed phone number is (618) 498-9532.

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 14D1021243) is associated with this NPI, valid through January 15, 2028. 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 Jerseyville Dialysis is a Medicare-certified dialysis facility, certified since March 31, 2003.

What quality rating does Total Renal Care Inc have?

CMS rates DaVita Jerseyville Dialysis 2 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 UnitedHealthcare 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 August 20, 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.