SOUTHEASTERN DIALYSIS CENTER KENANSVILLE
NPI 1740249374
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kenansville, NC

Q: What is Total Renal Care Of North Carolina LLC'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 Of North Carolina LLC have?

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

Active since March 22, 2006CLIA 34D0245246 · Waiver

1/5

Overall Rating

133 LIMESTONE RD, KENANSVILLE, NC 28349(910) 441-3045(910) 441-3063 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2023, Apr 28, 2021, Dec 27, 2019 and 1 more (4 updates tracked since 2019).

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About Southeastern Dialysis Center Kenansville NPPES

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

SOUTHEASTERN DIALYSIS CENTER KENANSVILLE (NPI 1740249374) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Kenansville, North Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samuel T Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1740249374

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameTOTAL RENAL CARE OF NORTH CAROLINA LLC

Location Address133 LIMESTONE RDKenansville, NC 28349-9019

Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4593 · Fax (800) 293-5872

Phone(910) 441-3045

Fax(910) 441-3063

Organization SubpartNo

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

Enumeration DateMarch 22, 2006

Last NPPES UpdateMay 28, 20244 updates tracked since enumeration

NPPES CertifiedMay 28, 2024

✔ NPI 1740249374 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

133 LIMESTONE RD, Kenansville, NC 28349

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Other Names 1

Doing Business AsSoutheastern Dialysis Center Kenansville

Other Identifiers 1

Medicaid3422535NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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 34D0245246

Southeastern Dialysis Center -Kenansville · Kenansville, NC

Active · expires Aug 31, 2026

CLIA Number34D0245246

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJohn M. Herion

Laboratory Phone(910) 441-3045

Laboratory LocationSoutheastern Dialysis Center -Kenansville133 Limestone Road, Kenansville, NC 28349

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 SEDC Kenansville Dialysis Center (CMS certification number 342535), from CMS Care Compare.

DaVita SEDC Kenansville Dialysis Center

Dialysis facility · Kenansville, NC

1/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainDaVita

CMS Certification Number342535

ESRD NetworkNetwork 6

Hemodialysis Stations17

Medicare-Certified SinceMay 8, 1988

Location133 Limestone RdKenansville, NC 28349 · Duplin County

Phone(910) 441-3045

Services Offered

In-center hemodialysis

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 Of North Carolina LLC's NPI number?

The NPI number for Total Renal Care Of North Carolina LLC is 1740249374. It was assigned to this organization in the NPPES registry on March 22, 2006. The provider is doing business as Southeastern Dialysis Center Kenansville.

Where is Total Renal Care Of North Carolina LLC located?

Total Renal Care Of North Carolina LLC is located at 133 Limestone Rd, Kenansville, NC 28349. The listed phone number is (910) 441-3045.

What is Total Renal Care Of North Carolina LLC'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 Of North Carolina LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0245246) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Total Renal Care Of North Carolina LLC a Medicare-certified dialysis facility?

Yes. DaVita SEDC Kenansville Dialysis Center is a Medicare-certified dialysis facility, certified since May 8, 1988.

What quality rating does Total Renal Care Of North Carolina LLC have?

CMS rates DaVita SEDC Kenansville Dialysis Center 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 Of North Carolina LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers list Total Renal Care Of North Carolina LLC 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 Of North Carolina LLC was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.