LIBERTY RC INC (NPI# 1104855311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104855311 |
| Entity Type | Organization |
| Organization Name | LIBERTY RC INC |
| Other Organization Name | CLEVE HILL DIALYSIS CENTER |
| Practice Address |
1461 Kensington Ave Buffalo NY 14215-1436 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7168318892 |
| Practice Fax Number | 7168318890 |
| Mailing Telephone | 6153416410 |
| Mailing Fax Number | 8886628259 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|
| NY | 02732887 | 05 |
| Other Name | Type Code |
|---|---|
| Cleve Hill Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727852 | Liberty Rc Inc | Clinic/Center | 2521 Walden Ave Ste 600, Cheektowaga, NY 14225-4737 | 2019-08-30 |
| 1699261321 | Liberty Rc Inc | Clinic/Center | 475 S Transit St Ste 900, Lockport, NY 14094-5562 | 2018-07-05 |
| 1205353513 | Liberty Rc Inc | Clinic/Center | 3958 Vineyard Dr, Dunkirk, NY 14048-3522 | 2017-08-28 |
| 1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
| 1184930083 | Liberty Rc Inc | Clinic/Center | 4910 Camp Rd, Ste 100, Hamburg, NY 14075-2617 | 2010-08-30 |
| 1154537132 | Liberty Rc Inc | Clinic/Center | 3117 Webster Ave, Fl 1, Bronx, NY 10467-4905 | 2007-05-15 |
| 1043377922 | Liberty Rc Inc | Clinic/Center | 1515 Jarrett Pl, Bronx, NY 10461-2606 | 2007-01-02 |
| 1265461487 | Liberty Rc Inc | Clinic/Center | 155 White Plains Rd, Tarrytown, NY 10591-5523 | 2006-07-01 |
| 1578591152 | Liberty Rc Inc | Clinic/Center | 611 W Hartsdale Ave Fl 1, White Plains, NY 10607-1811 | 2006-06-30 |
| 1245763804 | Liberty Rc Inc | Clinic/Center | 699 Hertel Ave, Ste 380, Buffalo, NY 14207-2355 | 2017-04-10 |
| Street Address |
1461 KENSINGTON AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14215-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678409 | David M Holmes | Family Medicine | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2005-09-08 |
| 1447637780 | Meghan Richli | Student in an Organized Health Care Education/Training Program | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2015-05-06 |
| 1336580117 | Ramtin Samie | Student in an Organized Health Care Education/Training Program | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2013-07-09 |
| 1013357086 | Gunit Kang | Student in an Organized Health Care Education/Training Program | 1461 Kensington Ave, Cleve-hill Family Medicine Center, Buffalo, NY 14215-1436 | 2013-07-04 |
| 1629358379 | Patrick David L. Glasgow | Family Medicine | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2011-08-25 |
| 1518108992 | Maureen Forrester Finney | Physician Assistant | 1461 Kensington Ave, Cleve Hill Family Health Center, Buffalo, NY 14215-1436 | 2009-03-16 |
| 1972795771 | Khalid Saeed Malik | Family Medicine | 1461 Kensington Ave, Buffalo, NY 14215-1436 | 2007-08-15 |
| 1740224641 | Antonia Redhead | Family Medicine | 1461 Kensington Ave, Buffalo, NY 14215 | 2006-06-15 |
| 1215906383 | William Fiden | Family Medicine | 1461 Kensington Ave, Buffalo, NY 14215 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| 1093336646 | Sanjeevani Tomar | Student in an Organized Health Care Education/Training Program | University At Buffalo-suny, Department of Medicine, 462 Grider Street, Buffalo, NY 14215 | 2020-05-05 |
| 1982225926 | Rohan Pandey | Student in an Organized Health Care Education/Training Program | 462 Grider St. Erie County Medical Center, Buffalo, NY 14215 | 2020-04-30 |
| 1235759911 | Michael William O'donnell | Student in an Organized Health Care Education/Training Program | Erie County Medical Center Dk Miller Building, 462 Grider Street, Buffalo, NY 14215 | 2020-04-22 |
| 1780204883 | Ishwor Sharma | Student in an Organized Health Care Education/Training Program | Ecmc 462, Grider Street, Dk Miller Bldg, First Floor, Room C100-b, Buffalo, NY 14215 | 2020-04-20 |
| 1174142632 | Salman Masood | Student in an Organized Health Care Education/Training Program | 462 Grider Street Buffalo, Ny 14215, Buffalo, NY 14215 | 2020-04-14 |
| 1730718354 | Charles Feng Hua Zhang | Student in an Organized Health Care Education/Training Program | Erie County Medical Center, 462 Grider Street, Buffalo, NY 14215 | 2020-04-06 |
| 1700415650 | Joseph Charles L'huillier | Student in an Organized Health Care Education/Training Program | General Surgery Residency Program, Ecmc, Dk Miller Bdg, 462 Grider Street, Buffalo, NY 14215 | 2020-04-03 |
| Find all providers in zip 14215 | ||||
| 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 |
|---|---|---|---|---|
| 1639609787 | Knickerbocker Dialysis Inc | Clinic/Center | 520 Ellicott St, Ste 100, Buffalo, NY 14203-1517 | 2017-06-12 |
| 1437470614 | New York Dialysis Services, Inc. | Clinic/Center | 237 Linwood Ave., Buffalo, NY 14209-2009 | 2010-06-22 |
| 1164537908 | Bio-medical Applications of Minnesota, Inc. | Clinic/Center | 104 Marty Dr, #2, Buffalo, MN 55313-9308 | 2006-08-20 |
| 1245763804 | Liberty Rc Inc | Clinic/Center | 699 Hertel Ave, Ste 380, Buffalo, NY 14207-2355 | 2017-04-10 |
| 1639395148 | Western New York Artificial Kidney Center Inc | Clinic/Center | 237 Linwood Ave, Buffalo, NY 14209-2009 | 2007-04-17 |
| 1861526063 | Kaleida Health | Clinic/Center | 100 High St, Buffalo, NY 14203-1126 | 2007-03-16 |
| 1689708885 | Kaleida Health | Clinic/Center | 818 Ellicott St, Buffalo, NY 14203-1021 | 2007-03-16 |
| 1508948050 | Western New York Dc, LLC | Clinic/Center | 3 Gates Cir, Buffalo, NY 14209-1120 | 2006-10-20 |
| 1437197985 | Erie County Medical Center Corporation | Clinic/Center | 462 Grider St, Buffalo, NY 14215-3021 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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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.