OrganizationActive
Total Renal Care Inc
NPI 1164617361 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1164617361
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Usilton, Sr Vice President(770) 541-7922
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
900 Pancheri Dr
Ste B
Idaho Falls, ID 83402-3310
Phone: (208) 524-1336
Fax: (208) 524-7452
Street-level locationGet directions
Mailing address
5200 Virginia Way
Brentwood, TN 37027-7569
Other names (DBA / former)
- Doing business as
- Taylor Crossing Dialysis Center
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2007-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.