LDCD LLC (NPI# 1255643243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255643243 |
| Entity Type | Organization |
| Organization Name | LDCD LLC |
| Other Organization Name | LIBERTY DIALYSIS - CALDWELL |
| Practice Address |
4620 Enterprise Way Suite 101 Caldwell ID 83605-6764 |
| Practice Telephone | 2084541101 |
| Practice Fax Number | 2084549868 |
| Mailing Telephone | 2084541101 |
| Mailing Fax Number | 2084549868 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| 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 - Caldwell | Doing Business As Name - Organization |
| Street Address |
4620 ENTERPRISE WAY SUITE 101 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-6764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1619129020 | Total Renal Care Inc | Clinic/Center | 4716 Beacon Ln, Caldwell, ID 83605-4834 | 2008-10-16 |
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| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1083146559 | Total Renal Care, Inc. | Clinic/Center | 815 Nw 13th St, Fruitland, ID 83619 | 2017-04-03 |
| 1457749475 | Lewis-clark Kidney Center LLC | Clinic/Center | 2116 12th Ave, Lewiston, ID 83501-3502 | 2014-12-29 |
| 1144621665 | Dsi Post Falls, LLC | Clinic/Center | 920 N Highway 41, Suite 3-6, Post Falls, ID 83854-8806 | 2014-09-16 |
| 1427472141 | Boise Dialysis Partners II, LLC | Clinic/Center | 1109 W Myrtle St Ste 120, Boise, ID 83702-6971 | 2014-02-17 |
| 1467883967 | Dsi Kellogg, LLC | Clinic/Center | 858 Commerce Dr., Smelterville, ID 83868 | 2013-12-09 |
| 1154669695 | Tfld Partners, LLC | Clinic/Center | 350 North Haven Drive, Twin Falls, ID 83301 | 2013-01-17 |
| 1225265606 | Total Renal Care Inc | Clinic/Center | 212 Rodeo Dr Ste 110, Moscow, ID 83843-9791 | 2009-06-12 |
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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.