021808 LLC (NPI# 1063688844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063688844 |
| Entity Type | Organization |
| Organization Name | 021808 LLC |
| Other Organization Name | LIBERTY DIALYSIS - COLORADO SPRINGS SOUTH |
| Practice Address |
2508 Airport Rd Colorado Springs CO 80910-3120 |
| Practice Telephone | 7192277455 |
| Practice Fax Number | 7192277456 |
| Mailing Telephone | 7192277455 |
| Mailing Fax Number | 7192277456 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | JAMES J. DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, 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 |
| Other Name | Type Code |
|---|---|
| LIBERTY DIALYSIS - COLORADO SPRINGS SOUTH | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | 021808 LLC | 920 Winter St, Waltham, MA 02451 |
| Street Address |
2508 AIRPORT RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244036 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2508 Airport Rd, Colorado Springs, CO 80910-3120 | 2020-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| 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 |
|---|---|---|---|---|
| 1083259634 | Fresenius Medical Care Colorado Springs, LLC | Clinic/Center | 3326 Centennial Blvd, Colorado Springs, CO 80907-4092 | 2019-11-07 |
| 1538395165 | Csld Lelaray LLC | Clinic/Center | 1910 Lelaray, Colorado Springs, CO 80909-2803 | 2009-06-10 |
| 1295702009 | Total Renal Care Inc | Clinic/Center | 2802 International Cir, Colorado Springs, CO 80910 | 2006-03-01 |
| 1497759153 | Reliant Renal Care-colorado, LLC | Clinic/Center | 1605 N Union Blvd, Ste 100, Colorado Springs, CO 80909-2811 | 2005-06-10 |
| 1366779191 | Ppn Home Dialysis LLC | Clinic/Center | 2002 Lelaray St, Suite 100, Colorado Springs, CO 80909-2804 | 2009-11-16 |
| 1497921274 | Csld LLC | Clinic/Center | 2180 Hollow Brook Dr, Colorado Springs, CO 80918-1444 | 2008-05-01 |
| 1639344187 | North Colorado Springs Dialysis LLC | Clinic/Center | 6071 E Woodmen Rd, Ste 100, Colorado Springs, CO 80923-2610 | 2008-04-25 |
| 1518934702 | Total Renal Care Inc | Clinic/Center | 2002 Lelaray St, Ste 130, Colorado Springs, CO 80909-2804 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028934 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1329 W Main St Ste B, Sterling, CO 80751-2834 | 2020-09-16 |
| 1295340073 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 2431 Main St Ste 5, Alamosa, CO 81101-8110 | 2020-09-09 |
| 1861007643 | Fresenius Medical Care Dialysis Services Colorado, LLC | Clinic/Center | 1125 S Camino Del Rio Ste 300b, Durango, CO 81303-6886 | 2020-09-09 |
| 1801424379 | Fresenius Medical Care Sloans Lake, LLC | Clinic/Center | 4097 W Colfax Ave, Denver, CO 89204-1404 | 2020-03-31 |
| 1043859507 | Altitude Dialysis Inc. | Clinic/Center | 1209 Monroe Street, Denver, CO 80206-3445 | 2020-01-02 |
| 1376025585 | Fresenius Medical Care Dialysis Services Colorado LLC | Clinic/Center | 1526 Oakridge Dr, Fort Collins, CO 80525-7305 | 2018-09-04 |
| 1639692288 | Southwest Rocky Mountain Dialysis, LLC | Clinic/Center | 4834 Chambers Rd, Denver, CO 80239-5152 | 2017-07-25 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1285086389 | Kidney Center of Dacono LLC | Clinic/Center | 5992 Iris Pkwy, Frederick, CO 80504-6412 | 2016-07-13 |
| 1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on 021808 LLC.
| 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.