Active NPI
Ldo, LLC
Doing business as U.S. Renal Care Orange Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Orange, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- LDO, LLC
- Doing business as
- U.S. Renal Care Orange Dialysis
- Practice address
- 240 Indian River Rd
Building D
Orange, CT 06477-3649 - Phone
- (203) 891-8992
- Fax
- (203) 891-8994
- NPI assigned
- Jun 18, 2009
- Last updated
- Mar 29, 2016
- Organization subpart
- Yes
- Parent organization
- U.S. RENAL CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas L. Weinberg
- Title
- Authorized Official
- Phone
- (214) 736-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
240 Indian River Rd
Building D
Orange, CT 06477-3649
Mailing address
424 Church St
Suite 1900
Nashville, TN 37219-2301
Phone (615) 777-8201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008020974 | Medicaid | CT |
Other names 1
- U.S. Renal Care Orange Dialysis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090817000127 | CT | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 3476607037 | Practice locations: Orange, CT |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- USRC Orange Dialysis
- Overall star rating
- Ownership
- Profit
- Certified
- Apr 27, 2010
- Medicare certification status
- Active
- Chain
- US Renal Care, Inc.
- Dialysis stations
- 21
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D1106555 | Ldo, LLC | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider Directory- Part of
- US Renal Care Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba U.S. Renal Care Bryan Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bryan, TX
- NPI 1578839080
Member Of
Locations
240 Indian River Rd
Bldg D
Orange, CT 06477
Phone (203) 891-8992
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1114154929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 CHURCH ST",
"address_2": "SUITE 1900",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192301",
"telephone_number": "615-777-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 INDIAN RIVER RD",
"address_2": "BUILDING D",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773649",
"telephone_number": "203-891-8992",
"fax_number": "203-891-8994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LDO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "U.S. RENAL CARE, INC.",
"enumeration_date": "2009-06-18",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "214-736-2700"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008020974",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "U.S. Renal Care Orange Dialysis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.