KENWOOD DIALYSIS
NPI 1891009619
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chicago, IL

Active since August 04, 2010CLIA 14D2278496 · Waiver
4259 S COTTAGE GROVE AVE, STE 100, CHICAGO, IL 60653(773) 285-3621(773) 924-5670 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2021, Jul 30, 2021, Oct 28, 2020 and 1 more (4 updates tracked since 2018).

About Kenwood Dialysis NPPES

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

KENWOOD DIALYSIS (NPI 1891009619) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Chicago, Illinois and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists John D Winstel, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1891009619
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address4259 S COTTAGE GROVE AVE, STE 100Chicago, IL 60653-2929
Mailing Address5200 Virginia Way, L&c DeptBrentwood, TN 37027-7569 · (615) 320-4514 · Fax (866) 594-9961
Fax(773) 924-5670
Organization SubpartNo
Authorized OfficialJohn D WinstelChief Accounting Officer · (253) 733-4501
Enumeration DateAugust 4, 2010
Last NPPES UpdateSeptember 23, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1891009619 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
4259 S COTTAGE GROVE AVE, Chicago, IL 60653

Other Names 1

Doing Business AsKenwood Dialysis

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 14D2278496

Kenwood Dialysis Total Renal Care Inc · Chicago, IL
Active · expires Mar 16, 2027
CLIA Number14D2278496
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorBhrathi Redddy
Laboratory Phone(773) 285-3621
Laboratory LocationKenwood Dialysis Total Renal Care Inc4259 S Cottage Grove Ave - Ste 100, Chicago, IL 60653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4259 S COTTAGE GROVE AVE, STE 200
CHICAGO, IL 60653

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 1891009619. It was assigned to this organization in the NPPES registry on August 4, 2010. The provider is doing business as Kenwood Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 4259 S Cottage Grove Ave Ste 100, Chicago, IL 60653. The listed phone number is (773) 285-3621.

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 14D2278496) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.