LIBERTY DIALYSIS - DUNELAND LLC (NPI# 1457383069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457383069 |
Entity Type | Organization |
Organization Name | LIBERTY DIALYSIS - DUNELAND LLC |
Other Organization Name | U.S. RENAL CARE COFFEE CREEK DIALYSIS |
Practice Address |
3100 Village Point Suite 101 Chesterton IN 46304-9689 |
Mailing Address |
424 Church St Suite 1900 Nashville TN 37219-2301 |
Practice Telephone | 2193958020 |
Practice Fax Number | 2193951015 |
Mailing Telephone | 6157778201 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2016-03-29 |
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 |
Other Name | Type Code |
---|---|
U.S. Renal Care Coffee Creek Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306060140 | Liberty Dialysis - Duneland LLC | Clinic/Center | 551 Seymour Drive, Suite 101, Chesterton, IN 46304 | 2007-04-12 |
1437184199 | Liberty Dialysis - Duneland LLC | Clinic/Center | 1008 Edgewood Drive, Knox, IN 46534 | 2006-07-11 |
1578598249 | Liberty Dialysis - Duneland LLC | Clinic/Center | 103 W 18th St, La Porte, IN 46350-6631 | 2006-07-11 |
Street Address |
3100 VILLAGE POINT SUITE 101 |
City | CHESTERTON |
State | IN |
Zip Code | 46304-9689 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538165907 | James Arthur Hasbargen | Internal Medicine | 3100 Village Point, Suite 102, Chesterton, IN 46304-9689 | 2005-06-22 |
1598709685 | Duneland Nephrology PC | Internal Medicine | 3100 Village Point, Suite 102, Chesterton, IN 46304-9689 | 2006-06-16 |
1083676043 | Cheryl Brady | Nurse Practitioner | 3100 Village Point, Suite 102, Chesterton, IN 46304-9689 | 2006-04-05 |
1356347546 | John Patrick Brady | Internal Medicine | 3100 Village Point, Suite 102, Chesterton, IN 46304-9689 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
Find all providers in zip 46304 |
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 |
---|---|---|---|---|
1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
1306060140 | Liberty Dialysis - Duneland LLC | Clinic/Center | 551 Seymour Drive, Suite 101, Chesterton, IN 46304 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
Find all providers with the same taxonomy |
City | CHESTERTON |
Zip Code | 46304 |
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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.