Liberty Dialysis-Carson City LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

LIBERTY DIALYSIS-CARSON CITY LLC

Doing business as

Liberty Dialysis-Carson City, LLC

Practice address

4500 S Carson St
Carson City, NV 89701-6618

Phone

(775) 461-7250

Fax

(775) 841-2676

NPI assigned

Feb 15, 2008

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Fawcett

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIBERTY DIALYSIS-CARSON CITY, LLC Doing business as

Electronic endpoints 1

Listed as

Dci Carson TahoeCCN 292540

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Aug 14, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Dialysis Clinic, Inc.

Dialysis stations

20

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  dba Renal Care Center (RCC) of Johnson City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Johnson City, TN
  • NPI 1215049044

  Member Of

  NPD member

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• Liberty Dialysis-Northwest Reno LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reno, NV
  • NPI 1609044569

  Member Of

  NPD member
• Liberty Dialysis-Reno Home Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reno, NV
  • NPI 1306014238

  Member Of

  NPD member
• Liberty Dialysis-South Reno LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Reno, NV
  • NPI 1174791008

  Member Of

  NPD member
• Liberty Dialysis-Sparks LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sparks, NV
  • NPI 1104094036

  Member Of

  NPD member

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Iryna Patel, M.D.

  • Nephrology Physician
  • Reno, NV
  • NPI 1790168441

  Dialysis facility

  Care Compare affiliation Name & address match
• Jusmin R Patel, M.D.

  • Nephrology Physician
  • Reno, NV
  • NPI 1518259647

  Dialysis facility

  Care Compare affiliation Name & address match

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1336317098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016618",
            "telephone_number": "775-461-7250",
            "fax_number": "775-841-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016618",
            "telephone_number": "775-461-7250",
            "fax_number": "775-841-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIALYSIS-CARSON CITY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2008-02-15",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336317098",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LIBERTY DIALYSIS-CARSON CITY, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Leonard
• Shannon M Lepe
• Allyson Leslie, APRN
• Maggie Leung
• Kimberly Lewis
• Ilana Libes
• Lifeblood Mobile Lab Services
• Lifeskills Unlimited, Inc
• Lorena Likaj, MD
• Eric Lin

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Carson City, NV
• Providers in Carson City, NV by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.