COMPREHENSIVE RENAL CARE GARY
NPI 1952364648
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Gary, IN

Active since April 11, 2006CLIA 15D0861663 · Waiver
2/5
Overall Rating
4802 BROADWAY, GARY, IN 46408(219) 887-1199(219) 887-1605 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Aug 31, 2023, Dec 2, 2020 and 2 more (5 updates tracked since 2018).

About Comprehensive Renal Care Gary NPPES

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

COMPREHENSIVE RENAL CARE GARY (NPI 1952364648) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Gary, Indiana and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Samuel Wey, Vp Licensure & Certification, as its authorized official.

NPPES Registry Identity

NPI1952364648
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameTRC - INDIANA LLC
Location Address4802 BROADWAYGary, IN 46408-4509
Mailing Address5200 Virginia Way, Att: L&c DeptBrentwood, TN 37027-7569
Fax(219) 887-1605
Organization SubpartNo
Authorized OfficialSamuel WeyVp Licensure & Certification · (615) 341-6641
Enumeration DateApril 11, 2006
Last NPPES UpdateJuly 31, 20245 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
NPI 1952364648 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
4802 BROADWAY, Gary, IN 46408

Other Names 1

Doing Business AsComprehensive Renal Care Gary

Other Identifiers 1

Medicaid200315330AIN

Accepted 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 15D0861663

Comprehensive Renal Care - Gary · Gary, IN
Active · expires Feb 1, 2028
CLIA Number15D0861663
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorRaied Abdullah
Laboratory Phone(219) 887-1199
Laboratory LocationComprehensive Renal Care - Gary4802 Broadway, Gary, IN 46408
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 Comprehensive Renal Care - Gary (CMS certification number 152521), from CMS Care Compare.

DaVita Comprehensive Renal Care - Gary

Dialysis facility · Gary, IN
2/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
ChainDaVita
CMS Certification Number152521
ESRD NetworkNetwork 9
Hemodialysis Stations40
Medicare-Certified SinceJuly 30, 1992
Location4802 BROADWAYGary, IN 46408 · Lake County
Services Offered
In-center hemodialysis Peritoneal dialysis Evening shifts (after 5 PM)

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Nephrology)
4802 BROADWAY
GARY, IN 46408
Internal Medicine (Nephrology)
4802 BROADWAY
GARY, IN 46408
Internal Medicine (Nephrology)
4802 BROADWAY
GARY, IN 46408
Nurse Practitioner
4802 BROADWAY
GARY, IN 46408

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 Trc - Indiana LLC's NPI number?

The NPI number for Trc - Indiana LLC is 1952364648. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Comprehensive Renal Care Gary.

Where is Trc - Indiana LLC located?

Trc - Indiana LLC is located at 4802 Broadway, Gary, IN 46408. The listed phone number is (219) 887-1199.

What is Trc - Indiana 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 Trc - Indiana LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0861663) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Trc - Indiana LLC a Medicare-certified dialysis facility?

Yes. DaVita Comprehensive Renal Care - Gary is a Medicare-certified dialysis facility, certified since July 30, 1992.

What quality rating does Trc - Indiana LLC have?

CMS rates DaVita Comprehensive Renal Care - Gary 2 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Trc - Indiana LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Trc - Indiana 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 Trc - Indiana LLC was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.