LANCASTER DIALYSIS LLC (NPI# 1013959683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013959683 |
| Entity Type | Organization |
| Organization Name | LANCASTER DIALYSIS LLC |
| Other Organization Name | LIBERTY DIALYSIS - LANCASTER |
| Practice Address |
3250 W Pleasant Run Rd Ste 280 Lancaster TX 75146-1067 |
| Mailing Address |
Po Box 844631 Dallas TX 75284-4631 |
| Practice Telephone | 9722307778 |
| Mailing Telephone | 2147362700 |
| Mailing Fax Number | 2147362701 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MR. RYAN PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OF TEXAS | HH007Y | 01 | |
| TX | 183993802 | 05 | |
| TN | KIDNEY HEALTH CARE/DOH TX | 019492 | 01 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis - Lancaster | Doing Business As Name - Organization |
| Street Address |
3250 W PLEASANT RUN RD STE 280 |
| City | LANCASTER |
| State | TX |
| Zip Code | 75146-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255690145 | Daniel W Kou | Dentist | 3250 W Pleasant Run Rd, #190, Lancaster, TX 75146-1050 | 2012-05-11 |
| 1770841157 | Aurora Family Care, Inc. | General Practice | 3250 W Pleasant Run Rd, Suite 130, Lancaster, TX 75146-1050 | 2012-04-24 |
| 1184909566 | Jennifer Weatherly, D.o., P.a. | Family Medicine | 3250 W Pleasant Run Rd, 160, Lancaster, TX 75146-1050 | 2011-10-17 |
| 1750695268 | Diana M. Vanta | Dentist | 3250 W Pleasant Run Rd, #190, Lancaster, TX 75146-1050 | 2010-07-27 |
| 1609109891 | David Tumbry | Chiropractor | 3250 W Pleasant Run Rd, Suite 130, Lancaster, TX 75146-1050 | 2009-09-07 |
| 1083872147 | Aurora Health Care | Chiropractor | 3250 W Pleasant Run Rd, Suite #130, Lancaster, TX 75146-1050 | 2008-05-27 |
| 1558569780 | Apple Rehabilitation and Fitness, Inc. | Nurse Practitioner | 3250 W Pleasant Run Rd, #120, Lancaster, TX 75146-1041 | 2007-07-10 |
| 1013071810 | Jennie T Huynh | Occupational Therapist | 3250 W Pleasant Run Rd, Suite 120, Lancaster, TX 75146-1050 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392188 | Otha Watson | Home Health | 3003 Driftwood Ln, Lancaster, TX 75146 | 2018-04-04 |
| 1295278208 | Habibat Addulkarim Audu | Licensed Vocational Nurse | 1211 Westridge Avenue, 202, Lancaster, TX 75146 | 2016-11-22 |
| 1154772457 | Dion Leathers | Physician Assistant | 439 Francis St, Lancaster, TX 75146 | 2016-06-28 |
| 1205287828 | Elisha Chapman | Specialist/Technologist, Other | 415 S Dallas Ave, Lancaster, TX 75146 | 2016-06-24 |
| 1205224862 | Bestin Abraham | Pharmacist | 350 N. Bluegrove Rd, Lancaster, TX 75146 | 2015-01-06 |
| 1134525751 | Shekina Barber | Counselor | 2810 Saint Croix Ave, Lancaster, TX 75146 | 2014-11-10 |
| 1306276910 | Elisia Beck | Chore Provider | 585 Rolling Hills Pl., #321, Lancaster, TX 75146 | 2013-11-18 |
| 1639443146 | Angela D Nowell | Nurse Practitioner | 2700 West Pleasant Run Road, Suite 300, Lancaster, TX 75146 | 2012-03-01 |
| 1003196510 | Callie House | Residential Treatment Facility, Physical Disabilities | 913 Francis St., Lancaster, TX 75146 | 2011-08-29 |
| 1851602882 | Leo Davis | Dentist | 1370 W Beltline Rd, Ste 100, Lancaster, TX 75146 | 2010-06-24 |
| Find all providers in zip 75146 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1770609711 | Antelope Valley Kidney Institute, A Professional Corporation | Clinic/Center | 43932 15th St Reet West, Suite 103, Lancaster, CA 93534-5207 | 2007-03-21 |
| 1730285818 | Antelope Valley Dialysis Center Medical Group, Inc | Clinic/Center | 1759 W Avenue J # 102, Lancaster, CA 93534-2703 | 2006-09-15 |
| 1407968209 | Bio-medical Applications of California, Inc. | Clinic/Center | 44950 Valley Central Way Ste 108-109, Lancaster, CA 93536-7209 | 2006-08-31 |
| 1760445548 | Total Renal Care Texas Limited Partnership | Clinic/Center | 2424 W Pleasant Run Rd, Lancaster, TX 75146-4005 | 2006-04-11 |
| 1629030432 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1412 E King St, Lancaster, PA 17602-3240 | 2006-04-05 |
| 1578525614 | Dva Healthcare Renal Care Inc | Clinic/Center | 1100 West Meeting St, Lancaster, SC 29720-2251 | 2006-04-04 |
| 1548671522 | Regional Dialysis Center of Lancaster LLC | Clinic/Center | 2500 W Pleasant Run Rd, Suite 100, Lancaster, TX 75146-1170 | 2014-05-13 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| 1972752236 | Fresenius Medical Care Lancaster Nephrology Investments LLC | Clinic/Center | 1550 Sheridan Dr, Suite 206, Lancaster, OH 43130-1381 | 2008-09-11 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.