LDBH, LLC (NPI# 1407150279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 at Lakeland Benton Harbor | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629372628 | Ldbh, LLC | Clinic/Center | 400 Medical Park Dr, Watervliet, MI 49098-9225 | 2011-01-05 |
Street Address |
338 8TH STREET |
City | BENTON HARBOR |
State | MI |
Zip Code | 49022 |
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 |
Find all providers in zip 49022 |
Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
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 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
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 |
1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
Find all providers with the same taxonomy |
City | BENTON HARBOR |
Zip Code | 49022 |
Please comment or provide details below to improve the information on LDBH, 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.