LIBERTY DIALYSIS - WILMINGTON LLC (NPI# 1821284662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821284662 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - WILMINGTON LLC |
| Other Organization Name | U.S. RENAL CARE WILMINGTON DIALYSIS |
| Practice Address |
913 Delaware Ave Wilmington DE 19806-4701 |
| Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
| Practice Telephone | 3024290142 |
| Practice Fax Number | 3024290149 |
| Mailing Telephone | 6157778201 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2016-03-31 |
| Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2147362700 |
| Is Organization Subpart | Y |
| Parent Organization Name | U.S. RENAL CARE, INC. |
| 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 |
|---|---|---|---|
| DE | 1821284662 | 05 |
| Other Name | Type Code |
|---|---|
| U.S. Renal Care Wilmington Dialysis | Doing Business As Name - Organization |
| Street Address |
913 DELAWARE AVE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| 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 |
|---|---|---|---|---|
| 1295196491 | Total Renal Care of North Carolina, LLC | Clinic/Center | 3147 S 17th St, Wilmington, NC 28412-1030 | 2016-03-15 |
| 1225415888 | Fresenius Medical Care Wilmington Home, LLC | Clinic/Center | 164 Holiday Dr, Wilmington, OH 45177-8731 | 2015-05-04 |
| 1861787269 | Total Renal Care of North Carolina LLC | Clinic/Center | 3005 Enterprise Drive, Wilmington, NC 28405-2181 | 2011-06-14 |
| 1275714347 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 4000 N Washington St, Wilmington, DE 19802-2136 | 2007-11-16 |
| 1235234030 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | 701 N Clayton St Ste 404, Wilmington, DE 19805-3165 | 2006-09-14 |
| 1679677546 | National Medical Care, Inc. | Clinic/Center | 303 A St, Wilmington, DE 19801-5324 | 2006-09-12 |
| 1982658043 | Independent Nephrology Services, Inc. | Clinic/Center | 1098 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-05-20 |
| 1932165867 | Renal Life Link Inc | Clinic/Center | 1675 Alex Dr, Wilmington, OH 45177-2446 | 2006-04-20 |
| 1093774473 | Total Renal Care of North Carolina LLC | Clinic/Center | 2215 Yaupon Dr, Wilmington, NC 28401-7334 | 2006-03-22 |
| 1548553126 | Peritoneal Dialysis Care Clinic LLC | Clinic/Center | 630 W Main St, Suite 209, Wilmington, OH 45177-2170 | 2011-05-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on LIBERTY DIALYSIS - WILMINGTON 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.