LIBERTY AT HOME DIALYSIS LLC NPI 1821477415

NPI Information

NPI: 1821477415
Provider Name: LIBERTY AT HOME DIALYSIS, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 45D2119806

Address:
5535 RED BIRD CENTER DR
SUITE 150
DALLAS, TX
ZIP 75237
Phone: (214) 331-1112
Get Directions

LIBERTY AT HOME DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Dallas, TX. LIBERTY AT HOME DIALYSIS, LLC NPI is 1821477415. The provider is registered as an organization entity type.

The provider's business location address is:

5535 RED BIRD CENTER DR
SUITE 150
DALLAS, TX
ZIP 75237-921
Phone: (214) 331-1112
Fax: (214) 331-1115

The provider's authorized official is Robert Santelli .
The authorized official title is Member and has the following contact phone number (206) 236-5001.

The CLIA number assigned to this NPI record is 45D2119806 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 8/18/2016.

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	251E00000X	Home Health		017487	TEXAS	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment		TEXAS	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »