LIBERTY RC INC


Address: 621 10th St, Niagara Falls, NY 14301-1813
Phone: 7162784639

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).

Provider Overview

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

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 Identifier

State Issuer Identifier Type Code
NY 03399144 05

Other Provider/Organization Names

Other Name Type Code
Niagara Falls Kidney Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 621 10TH ST
City NIAGARA FALLS
State NY
Zip Code 14301-1813

Providers in the same location

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
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Providers in the same zip code

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
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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...

Providers in the same taxonomy and city

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

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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
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Competitor

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City NIAGARA FALLS
Zip Code 14301

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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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