NPIMap

Liberty RC Inc

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Carmel, NY

NPI 1477582690 · NPPES record last updated Apr 21, 2025

Key facts

NPI
1477582690
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
LIBERTY RC INC
Practice address
667 Stoneleigh Ave
Ste 123
Carmel, NY 10512-2455
Phone
(845) 278-4150
Fax
(845) 279-6902
NPI assigned
Jul 1, 2006
Organization subpart
No

Authorized official

Name
Samuel Wey
Title
VP, Licensure & Certification
Phone
(615) 341-6641

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brooklyn, NY · NPI 1104155894
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Amherst, NY · NPI 1104855311
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Yonkers, NY · NPI 1164670113
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hamburg, NY · NPI 1184930083
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dunkirk, NY · NPI 1205353513
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tarrytown, NY · NPI 1265461487
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · White Plains, NY · NPI 1578591152
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Niagara Falls, NY · NPI 1619377330
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lockport, NY · NPI 1699261321
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · West Seneca, NY · NPI 1730118852
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Niagara Falls, NY · NPI 1740588755
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Purchase, NY · NPI 1982632543
    Same PAC ID 9436199304
  • Liberty RC Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lowville, NY · NPI 1992136022
    Same PAC ID 9436199304

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Affiliated clinicians 3

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

Medicare Care Compare: Dialysis facility

Listed as
DaVita Celia Dill Dialysis Center CCN 332651
Overall star rating
★★★★☆ 4.0 of 5
Ownership
Profit
Certified
Oct 1, 2005
Medicare certification status
Active (Provider of Services file)
Chain
DaVita
Dialysis stations
16

Source: Medicare Care Compare. Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0965296Celia Dill Dialysis Center
667 Stoneleigh Ave - Suite 123, Carmel, NY 10512		Certificate of waiverMar 26, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050714000123 NY Part a Provider - End-Stage Renal Disease Facility (ESRD) 9436199304 Practice locations: Carmel, NY

National Provider Directory

Tax ID family
Liberty RC Inc (14 organizations share this tax ID)

Locations

667 Stoneleigh Ave
Ste 123
Carmel, NY 10512
Phone (845) 278-4150

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

667 Stoneleigh Ave
Ste 123
Carmel, NY 10512-2455

Mailing address

5200 Virginia Way
L & C Dept
Brentwood, TN 37027-7569

Other identifiers

IdentifierTypeStateIssuer
02731271MedicaidNY

Other names

  • Celia Dill Dialysis Center Doing business as

Other providers in Carmel, NY

All providers in Carmel, NY · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

Sources for this page

Verify at the official NPI Registry.