LIBERTY DIALYSIS - LAFAYETTE LLC (NPI# 1518057918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518057918 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - LAFAYETTE LLC |
| Other Organization Name | LIBERTY DIALYSIS - MONTICELLO |
| Practice Address |
810 S 6th St Monticello IN 47960-8201 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 5745833576 |
| Practice Fax Number | 5745833896 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-06-18 |
| 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 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis - Monticello | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245320639 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1020 N 18th St, Lafayette, IN 47904-2279 | 2006-10-13 |
| 1881784270 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1300 S Jackson St, Frankfort, IN 46041-3313 | 2006-10-13 |
| 1336239730 | Liberty Dialysis - Lafayette LLC | Clinic/Center | 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2006-10-13 |
| Street Address |
810 S 6TH ST |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136086 | Barbara M Salem | Nurse Practitioner | 810 S 6th St, Monticello, IN 47960-8201 | 2005-07-07 |
| 1396369856 | Melissa Dulin | Registered Nurse | 810 S 6th St, Monticello, IN 47960-8201 | 2020-06-01 |
| 1467975573 | Aswin Ratna Kansakar | Internal Medicine | 810 S 6th St, Monticello, IN 47960-8201 | 2017-07-20 |
| 1346614492 | Michelle Wells | Registered Nurse | 810 S 6th St, Monticello, IN 47960-8201 | 2015-11-30 |
| 1518354257 | Ryan Hancock | Family Medicine | 810 S 6th St, Monticello, IN 47960-8201 | 2015-04-21 |
| 1265705743 | Stacy Eldridge | Registered Nurse | 810 S 6th St, Monticello, IN 47960-8201 | 2012-02-15 |
| 1982831939 | Alphonsus G. Diamond | Family Medicine | 810 S 6th St, Monticello, IN 47960-8201 | 2009-06-17 |
| 1275782807 | Debra Ann Graber | Nurse Practitioner | 810 S 6th St, Monticello, IN 47960-8201 | 2008-09-18 |
| 1083806384 | Adel Khdour | Family Medicine | 810 S 6th St, Monticello, IN 47960-8201 | 2007-08-10 |
| 1609930742 | Arnett Clinic, LLC | Durable Medical Equipment & Medical Supplies | 810 S 6th St, Suite A, Monticello, IN 47960-8201 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1588075949 | Theodore Eckerle | Social Worker | 920 West Executive Court, Monticello, IN 47960 | 2014-05-19 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| Find all providers in zip 47960 | ||||
| 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 |
|---|---|---|---|---|
| 1770939241 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 40 Walmart Plaza Dr, Monticello, KY 42633-7904 | 2016-05-13 |
| 1003915455 | Greater Lafayette Health Services | Clinic/Center | 1017 O Connor Blvd, Monticello, IN 47960-1600 | 2006-09-22 |
| 1285746180 | Jefferson County Dialysis Inc | Clinic/Center | 774 Jordan Dr, Monticello, AR 71655-5718 | 2006-08-31 |
| 1508802968 | Knickerbocker Dialysis Inc | Clinic/Center | 139 Forestburgh Rd, Monticello, NY 12701-2348 | 2006-06-22 |
| 1245287358 | Nra Monticello Georgia LLC | Clinic/Center | 1393 Funderburg Dr, Monticello, GA 31064-6818 | 2006-05-27 |
| 1497141576 | Dsi Macon, LLC | Clinic/Center | 1393 Funderburg Dr, Monticello, GA 31064-6818 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on LIBERTY DIALYSIS - LAFAYETTE 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.