LIBERTY DIALYSIS - CARSON CITY LLC (NPI# 1336317098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336317098 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - CARSON CITY LLC |
| Practice Address |
4500 South Carson Street Carson City NV 89701-5517 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 2062365001 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| 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 |
|---|---|---|---|
| NV | 1336317098 | 05 |
| Street Address |
4500 SOUTH CARSON STREET |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89701-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295398741 | Tammy Lea Ritter | Registered Nurse | 727 Fairview Dr, Suite A, Carson City, NV 89701 | 2019-04-19 |
| 1417445644 | Veatrice Marie Buckley | Chore Provider | 343 Fairview Dr., #101, Carson City, NV 89701 | 2018-04-24 |
| 1619417821 | Melhuish & Associates PC | Durable Medical Equipment & Medical Supplies | 2350 S Carson St, Ste 3, Carson City, NV 89701 | 2017-03-07 |
| 1942625579 | Kristi Lin Berg | Social Worker | 777 E William St Ste 102, Carson City, NV 89701 | 2014-02-18 |
| 1992141493 | Rumi Ota | Marriage & Family Therapist | 755 N Roop St Ste 101, Carson City, NV 89701 | 2013-05-11 |
| 1700127743 | Pauline Jenni King | Nurse Practitioner | 1206 S Carson St, Carson City, NV 89701 | 2013-03-14 |
| 1740524503 | Bodie Ward Coates | Counselor | 755 N. Roop St. #101, Carson City, NV 89701 | 2012-11-19 |
| 1699085407 | Jacque Michael Negrete | Social Worker | 777 E William St Ste 106, Carson City, NV 89701 | 2010-10-14 |
| 1295045102 | Mountain West Anesthesia | Nurse Anesthetist, Certified Registered | 1801 North Carson Street, Carson City, NV 89701 | 2010-10-13 |
| 1831342617 | Heal Therapy of Nevada | Social Worker | 405 N Roop St, Carson City, NV 89701 | 2008-10-24 |
| Find all providers in zip 89701 | ||||
| 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 |
|---|---|---|---|---|
| 1669612347 | Routt Dialysis LLC | Clinic/Center | 3246 N Carson St Unit 110, Carson City, NV 89706-0248 | 2009-02-20 |
| 1770516155 | Dialysis Clinic Inc. | Clinic/Center | 778 Basque Way, Carson City, NV 89706-7935 | 2006-07-08 |
| 1073584322 | Renown Regional Medical Center | Clinic/Center | 3310 Goni Rd, Suite 171, Carson City, NV 89706-7917 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942815527 | Virtue Dialysis LLC | Clinic/Center | 3880 S Jones Blvd Ste 1900, Las Vegas, NV 89103-2456 | 2020-09-10 |
| 1265050264 | Puridia LLC | Clinic/Center | 2121 E Flamingo Rd Ste 102, Las Vegas, NV 89119-5123 | 2020-07-07 |
| 1508494295 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1000 Wellness Pl, Ste 200, Henderson, NV 89011-2338 | 2020-03-30 |
| 1972139780 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 1051 Wellness Pl, Suite 100, Henderson, NV 89011 | 2020-03-13 |
| 1184272460 | Fresenius Medical Care Nkdhc, LLC | Clinic/Center | 255 E Warm Springs Rd, Las Vegas, NV 89119-4233 | 2019-08-29 |
| 1528629805 | Renwick Dialysis LLC | Clinic/Center | 2350 Stockton Ave, Las Vegas, NV 89104-3823 | 2019-06-26 |
| 1033622337 | Bretton Dialysis LLC | Clinic/Center | 2300 Corporate Cir Ste 100, Henderson, NV 89074-7725 | 2017-11-08 |
| 1245681170 | Ramsey Dialysis LLC | Clinic/Center | 1750 E Desert Inn Rd Ste 100, Las Vegas, NV 89169-3202 | 2016-06-22 |
| 1861875585 | Frontier Dialysis, LLC | Clinic/Center | 7316 W Cheyenne Ave, Las Vegas, NV 89129-6201 | 2015-06-30 |
| 1356720023 | Hummer Dialysis LLC | Clinic/Center | 713 E Lake Mead Blvd, North Las Vegas, NV 89030-6751 | 2015-05-27 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89701 |
Please comment or provide details below to improve the information on LIBERTY DIALYSIS - CARSON CITY 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.