Renal Care Group Arizona, LLC
NPI 1104928373 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Mammoth, AZ
Renal Care Group Arizona, LLC is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Mammoth, AZ (NPI 1104928373).
Provider details
- NPI number
- 1104928373
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Fresenius Medical Care Holdings, Inc.
- Organization subpart
- Yes
- Authorized official
- Barry Blanton, Vice President(781) 699-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renal Care Group - Mammoth
- Doing business as
- Renal Care Group - Mammoth
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Renal Care Group Arizona, LLC's NPI number?
- Renal Care Group Arizona, LLC's National Provider Identifier (NPI) is 1104928373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renal Care Group Arizona, LLC?
- Renal Care Group Arizona, LLC is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renal Care Group Arizona, LLC located?
- Renal Care Group Arizona, LLC's practice location on file with NPPES is 14786 S State Highway 77, Mammoth, AZ 85618-0000.
- What is Renal Care Group Arizona, LLC's phone number?
- The practice phone number listed in the NPPES registry for Renal Care Group Arizona, LLC is (520) 487-0150.
- Who is the authorized official for Renal Care Group Arizona, LLC?
- The authorized official listed on Renal Care Group Arizona, LLC's NPPES record is Barry Blanton, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renal Care Group Arizona, LLC's NPI active?
- Yes — Renal Care Group Arizona, LLC's NPI (1104928373) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.