LDBH LLC NPI 1407150279

NPI Information

NPI: 1407150279
Provider Name: LDBH LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: LIBERTY DIALYSIS AT LAKELAND BENTON HARBOR
CLIA Number: 23D2051734
Address: 338 8TH ST
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 605-0135

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NPI Details

LDBH LLC is an end-stage renal disease (esrd) treatment clinic center in Benton Harbor, MI. LDBH LLC NPI is 1407150279. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Dialysis At Lakeland Benton Harbor.

The provider's business location address is:

338 8TH ST
BENTON HARBOR, MI
ZIP 49022-006
Phone: (269) 605-0135
Fax: (269) 605-0140

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 23D2051734 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/7/2011 and was last updated on 10/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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