LDBH, LLC


Address: 338 8th Street, Benton Harbor, MI 49022
Phone: 2696050135

LDBH, LLC (NPI# 1407150279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407150279
Entity Type Organization
Organization Name LDBH, LLC
Other Organization Name LIBERTY DIALYSIS AT LAKELAND BENTON HARBOR
Practice Address 338 8th Street
Benton Harbor
MI 49022
Mailing Address 7650 Se 27th St
Suite 200
Mercer Island
WA 98040-3060
Practice Telephone 2696050135
Practice Fax Number 2696050140
Mailing Telephone 2062365001
Enumeration Date 2011-01-07
Last Update Date 2013-08-26
Authorized Official Name RICE POWELL (PRESIDENT)
Authorized Official Telephone 2062365001
Is Organization Subpart N

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Liberty Dialysis at Lakeland Benton Harbor Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629372628 Ldbh, LLC Clinic/Center 400 Medical Park Dr, Watervliet, MI 49098-9225 2011-01-05

Office Location

Street Address 338 8TH STREET
City BENTON HARBOR
State MI
Zip Code 49022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356852438 Heather A Harrison Pharmacist 1485 S M139, Benton Harbor, MI 49022 2017-10-17
1013426220 Valerie Fulton Chore Provider 2457 Plaza Dr, Benton Harbor, MI 49022 2017-09-20
1124544101 Felecia Howell Social Worker 1485 M139, Benton Harbor, MI 49022 2017-08-21
1548797848 Lauren Elise Midkiff Social Worker 1485 M-139, Benton Harbor, MI 49022 2017-05-17
1780130419 Jennifer Hoover Pharmacist 1701 M-139, Benton Harbor, MI 49022 2016-09-01
1841646395 Josefina Pena-ogando Counselor 185 E Main St Ste 402, Benton Harbor, MI 49022 2016-05-13
1295116648 Claudia Olivia Pozo Counselor 1458 M 139, Benton Harbor, MI 49022 2015-06-11
1063809515 Patrick K Hanlin Counselor 800 M- 139, Benton Harbor, MI 49022 2015-04-22
1912280835 Kimberly Anne Hardt Pharmacist 875 E.napier, Benton Harbor, MI 49022 2011-09-27
1467768721 Anastasia Miliadi Counselor 1485 S M- 139, Benton Harbor, MI 49022 2010-08-25
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

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1457973257 Fms Owosso, LLC Clinic/Center 918 Corunna Ave, Owosso, MI 48867-3768 2020-05-14
1023650926 Falmont Dialysis LLC Clinic/Center 37290 5 Mile Rd, Livonia, MI 48154-1848 2019-10-11
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1245715291 Brooksprings Dialysis, LLC Clinic/Center 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 2018-09-26
1851886592 Fms Rochester Hills, LLC Clinic/Center 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 2018-06-26
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Competitor

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City BENTON HARBOR
Zip Code 49022

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Dataset Information

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.

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