LIBERTY RC INC (NPI# 1740588755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740588755 |
Entity Type | Organization |
Organization Name | LIBERTY RC INC |
Other Organization Name | NIAGARA FALLS KIDNEY CARE CENTER |
Practice Address |
621 10th St Niagara Falls NY 14301-1813 |
Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
Practice Telephone | 7162784639 |
Practice Fax Number | 7162784637 |
Mailing Telephone | 6153416410 |
Mailing Fax Number | 8886628259 |
Enumeration Date | 2011-03-01 |
Last Update Date | 2019-09-30 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
---|---|---|---|
NY | 03399144 | 05 |
Other Name | Type Code |
---|---|
Niagara Falls Kidney Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639727852 | Liberty Rc Inc | Clinic/Center | 2521 Walden Ave Ste 600, Cheektowaga, NY 14225-4737 | 2019-08-30 |
1699261321 | Liberty Rc Inc | Clinic/Center | 475 S Transit St Ste 900, Lockport, NY 14094-5562 | 2018-07-05 |
1205353513 | Liberty Rc Inc | Clinic/Center | 3958 Vineyard Dr, Dunkirk, NY 14048-3522 | 2017-08-28 |
1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
1184930083 | Liberty Rc Inc | Clinic/Center | 4910 Camp Rd, Ste 100, Hamburg, NY 14075-2617 | 2010-08-30 |
1154537132 | Liberty Rc Inc | Clinic/Center | 3117 Webster Ave, Fl 1, Bronx, NY 10467-4905 | 2007-05-15 |
1043377922 | Liberty Rc Inc | Clinic/Center | 1515 Jarrett Pl, Bronx, NY 10461-2606 | 2007-01-02 |
1265461487 | Liberty Rc Inc | Clinic/Center | 155 White Plains Rd, Tarrytown, NY 10591-5523 | 2006-07-01 |
1578591152 | Liberty Rc Inc | Clinic/Center | 611 W Hartsdale Ave Fl 1, White Plains, NY 10607-1811 | 2006-06-30 |
1245763804 | Liberty Rc Inc | Clinic/Center | 699 Hertel Ave, Ste 380, Buffalo, NY 14207-2355 | 2017-04-10 |
Street Address |
621 10TH ST |
City | NIAGARA FALLS |
State | NY |
Zip Code | 14301-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457332462 | Muriel Forte | Registered Nurse | 621 10th St, Niagara Falls, NY 14301-1813 | 2005-11-07 |
1790396877 | Jennifer Anne Tracy | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-08-12 |
1790393585 | John Anthony Copas | Nurse Practitioner | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-17 |
1437767647 | Ryan Paul Vansice | Pharmacist | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-07-14 |
1376169409 | Maggen (meg) Daunce | Counselor | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-06-24 |
1144842816 | Niagara Falls Memorial Medical Center | General Acute Care Hospital | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-05-15 |
1487275749 | Jaspinderpal Singh Bhullar | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-28 |
1033738125 | Huma Tahir | Student in an Organized Health Care Education/Training Program | 621 10th St, Niagara Falls, NY 14301-1813 | 2020-04-09 |
1295372498 | Maureen Velasco | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
1467099606 | Karon Hubert | Physical Therapist | 621 10th St, Niagara Falls, NY 14301-1813 | 2019-12-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316559354 | Shelita H Pugh | Licensed Practical Nurse | 1320 Lasalle Ave., Niagara Falls, NY 14301 | 2020-08-20 |
1043664758 | Sevan Evren | Internal Medicine | 533 Tenth Street, Niagara Falls, NY 14301 | 2016-04-19 |
1396106423 | Cidalia Cota | Massage Therapist | 3507 Pine Ave, Niagara Falls, NY 14301 | 2016-03-17 |
1669878203 | Maureen Lester | Dietitian, Registered | 612 -10th Street, Niagara Falls, NY 14301 | 2014-11-10 |
1972855997 | Julia A Sturdivant | Registered Nurse | 910 Hyde Park Boulevard, Niagara Falls, NY 14301 | 2012-10-15 |
1760762611 | Daniel James Ort | Counselor | 1001 11 St, Northpointe Council Inc., Niagara Falls, NY 14301 | 2011-08-24 |
1013246164 | Dawn Cheryl Phillips | Counselor | 1001 11th St., Northpointe Council Inc., Niagara Falls, NY 14301 | 2009-12-21 |
1265665954 | Northpointe Council Inc | Clinic/Center | 1001 11th Street, Niagra Falls, NY 14301 | 2009-08-27 |
1356505465 | Cassandra Marie Carter | Registered Nurse | 2020 Woodlawn Ave, Niagara Falls, NY 14301 | 2008-07-17 |
1013179951 | Ameeta Manhas | Psychiatry & Neurology | 621 Tenth Street., Niagara Falls, NY 14301 | 2008-07-01 |
Find all providers in zip 14301 |
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 |
---|---|---|---|---|
1508399452 | New York Dialysis Services, Inc. | Clinic/Center | 3018 Military Rd, Niagara Falls, NY 14304-1225 | 2017-04-07 |
1619377330 | Liberty Rc Inc | Clinic/Center | 2932 Military Rd, Niagara Falls, NY 14304-1252 | 2014-08-29 |
1336161066 | Apollo Healthcare LLC | Clinic/Center | 3018 Military Road, Niagara Falls, NY 14304 | 2006-07-24 |
1497761829 | Apollo Healthcare LLC | Clinic/Center | 621 Tenth Street, Niagara Falls, NY 14302 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
Find all providers with the same taxonomy |
City | NIAGARA FALLS |
Zip Code | 14301 |
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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.