LIBERTY DIALYSIS - AHP LLC (NPI# 1780865741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780865741 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - AHP LLC |
| Practice Address |
4050 Lake Otis Pkwy Suite 106 Anchorage AK 99508-5212 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 2062365001 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2068166506 |
| 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 |
| Street Address |
4050 LAKE OTIS PKWY SUITE 106 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831145929 | Mahmood Ahmad | Anesthesiology | 4050 Lake Otis Pkwy, Suite 107, Anchorage, AK 99508-5223 | 2006-05-26 |
| 1639545817 | Dyann Vandaff | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2015-08-11 |
| 1982096806 | Listen2learn Speech Therapy LLC | Speech-Language Pathologist | 4050 Lake Otis Pkwy, 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1427440387 | Colleen Bridget Hill | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2015-03-02 |
| 1962804518 | Ppgnw - Alaska | Family Medicine | 4050 Lake Otis Pkwy, Suite 205, Anchorage, AK 99508-5223 | 2014-09-25 |
| 1760726806 | Debra Ann Tolliver | Counselor | 4050 Lake Otis Pkwy, Ste. 103, Anchorage, AK 99508-5223 | 2012-11-15 |
| 1528317260 | Marie Nicole Kenworthy | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Time for Speech, Anchorage, AK 99508 | 2012-09-07 |
| 1194071241 | Annie Dunnack | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 201, Anchorage, AK 99508-5223 | 2012-07-26 |
| 1285912758 | Shannon W Lamm | Speech-Language Pathologist | 4050 Lake Otis Pkwy, Suite 105, Anchorage, AK 99508-5223 | 2011-08-01 |
| 1740589902 | Jacqueline Suzanne Hand | Mechanotherapist | 4050 Lake Otis Pkwy, Suite # 207, Anchorage, AK 99508-5223 | 2011-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| 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 |
|---|---|---|---|---|
| 1316206915 | Ad Partners II, LLC | Clinic/Center | 360 Boniface Pkwy, Suite A11, Anchorage, AK 99504-4900 | 2012-05-16 |
| 1154570067 | Fresenius Medical Care Southwest Anchorage, LLC | Clinic/Center | 9085 Blackberry Street, Anchorage, AK 99502-5308 | 2008-09-16 |
| 1841468535 | Liberty Dialysis - Alaska LLC | Clinic/Center | 901 E Dimond Blvd, Anchorage, AK 99515-2007 | 2008-02-14 |
| 1770695579 | Renal Care Group Alaska, Inc. | Clinic/Center | 3950 Laurel St, Anchorage, AK 99508-5333 | 2006-08-31 |
| 1639554017 | Muldoon Development Partners LLC | Clinic/Center | 2735 E Tudor Rd, Anchorage, AK 99507-1135 | 2015-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801046362 | Fresenius Medical Care Soldotna, LLC | Clinic/Center | 289 North Fireweed, Soldotna, AK 99669-5333 | 2008-09-22 |
| 1689786485 | Renal Care Group Alaska, Inc. | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2006-08-31 |
| 1497867295 | Renal Care Group Wasilla LLC | Clinic/Center | 3787 East Meridian Loop, Wasilla, AK 99654-7270 | 2006-08-31 |
| 1679912059 | Renal Care Group Alaska Fairbanks, LLC | Clinic/Center | 1863 Airport Way, Fairbanks, AK 99701-4007 | 2013-06-19 |
| 1215049010 | Dialysis Services of Southeast Alaska, LLC | Clinic/Center | 9109 Mendenhall Mall Rd, Suite 6, Juneau, AK 99801 | 2006-08-31 |
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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.