1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Clinic Center
  6. NPI Profile

BROADMOOR DIALYSIS
NPI 1912248931
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Shreveport, LA

Active since March 15, 2013CLIA 19D1077682 · Waiver
1/5
Overall Rating
1815 E 70TH ST, SHREVEPORT, LA 71105(615) 341-5894(877) 382-4458 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broadmoor Dialysis NPPES

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

BROADMOOR DIALYSIS (NPI 1912248931) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Shreveport, Louisiana and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists James K Hilger, Chief Accounting Officer, as its authorized official.

NPPES Registry Identity

NPI1912248931
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTOTAL RENAL CARE INC
Location Address1815 E 70TH STShreveport, LA 71105-5301
Mailing Address5200 Virginia Way, Suite 400 L&c Dept.Brentwood, TN 37027-7569 · (615) 341-5894 · Fax (877) 382-4458
Phone(615) 341-5894
Fax(877) 382-4458
Organization SubpartNo
Authorized OfficialJames K HilgerChief Accounting Officer · (253) 280-9501
Enumeration DateMarch 15, 2013
✔ NPI 1912248931 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
1815 E 70TH ST, Shreveport, LA 71105
Open in Google Maps ↗

Other Names 1

Doing Business AsBroadmoor 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 19D1077682

Broadmoor Dialysis · Shreveport, LA
Active · expires Dec 16, 2027
CLIA Number19D1077682
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorMarisa T. Johnson MD
Laboratory Phone(318) 795-0572
Laboratory LocationBroadmoor Dialysis1815 E 70th Street, Shreveport, LA 71105
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 Broadmoor Dialysis (CMS certification number 192695), from CMS Care Compare.

DaVita Broadmoor Dialysis

Dialysis facility · Shreveport, LA
1/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number192695
ESRD NetworkNetwork 13
Hemodialysis Stations12
Medicare-Certified SinceSeptember 29, 2008
Location1815 E 70TH STShreveport, LA 71105 · Caddo County
Phone(318) 797-7940
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training

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.

SOUTHERN KIDNEY ASSOCIATES PLLC
Internal Medicine (Nephrology)
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (800) 276-9017
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (318) 797-7940
TODD CAMPBELL PA-C
Physician Assistant
1815 E 70TH ST
SHREVEPORT, LA 71105
Caddo Parish (903) 234-9992

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 1912248931. It was assigned to this organization in the NPPES registry on March 15, 2013. The provider is doing business as Broadmoor Dialysis.

Where is Total Renal Care Inc located?

Total Renal Care Inc is located at 1815 E 70th St, Shreveport, LA 71105. The listed phone number is (615) 341-5894.

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 19D1077682) is associated with this NPI, valid through December 16, 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 Broadmoor Dialysis is a Medicare-certified dialysis facility, certified since September 29, 2008.

What quality rating does Total Renal Care Inc have?

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

When was this NPI record last updated?

The NPPES record for Total Renal Care Inc was last updated on March 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.