PREMIER DIALYSIS - WEST GRAND PRAIRIE
NPI 1043756810
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Grand Prairie, TX

Q: What is USRC West Grand Prairie, LLC's NPI number?

The NPI number for USRC West Grand Prairie, LLC is 1043756810. It was assigned to this organization in the NPPES registry on January 17, 2017. The provider is doing business as Premier Dialysis - West Grand Prairie.

Q: What is USRC West Grand Prairie, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does USRC West Grand Prairie, LLC have?

CMS rates Liberty West Grand Prairie 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since January 17, 2017CLIA 45D2128785 · Waiver

3/5

Overall Rating

4045 S GREAT SOUTHWEST PKWY, SUITE 100, GRAND PRAIRIE, TX 75052(972) 375-0028(972) 375-0029 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2023, Jan 20, 2017 (2 updates tracked since 2017).

On this page

About Premier Dialysis - West Grand Prairie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER DIALYSIS - WEST GRAND PRAIRIE (NPI 1043756810) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Grand Prairie, Texas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through April 5, 2027 and lists Thomas L Weinberg, Chairman/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043756810

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameUSRC WEST GRAND PRAIRIE, LLC

Location Address4045 S GREAT SOUTHWEST PKWY, SUITE 100Grand Prairie, TX 75052-3837

Mailing AddressPo Box 251549Plano, TX 75025-1500 · (214) 736-2732

Phone(972) 375-0028

Fax(972) 375-0029

Organization SubpartYesParent: Us Renal Care Inc

Authorized OfficialThomas L WeinbergChairman/authorized Official · (214) 736-2700

Enumeration DateJanuary 17, 2017

Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1043756810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

4045 S GREAT SOUTHWEST PKWY, Grand Prairie, TX 75052

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Other Names 1

Doing Business AsPremier Dialysis - West Grand Prairie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2128785

Usrc West Grand Prairie, LLC Dba Us Renal Care Premier Dialysis West Grand Prairie · Grand Prairie, TX

Active · expires Apr 5, 2027

CLIA Number45D2128785

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateApril 6, 2025

Certificate Expiration DateApril 5, 2027

Laboratory DirectorEldrid Baez Matos

Laboratory Phone(972) 375-0028

Laboratory LocationUsrc West Grand Prairie, LLC Dba Us Renal Care Premier Dialysis West Grand Prairie4045 S Great SW Parkway Suite 100, Grand Prairie, TX 75052

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Liberty West Grand Prairie (CMS certification number 742510), from CMS Care Compare.

Liberty West Grand Prairie

Dialysis facility · Grand Prairie, TX

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainUS Renal Care, Inc.

CMS Certification Number742510

ESRD NetworkNetwork 14

Hemodialysis Stations13

Medicare-Certified SinceOctober 31, 2018

Location4045 S. Great Southwest Parkway Suite 100Grand Prairie, TX 75052 · Dallas County

Phone(972) 375-0028

Services Offered

In-center hemodialysis Peritoneal dialysis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is USRC West Grand Prairie, LLC's NPI number?

The NPI number for USRC West Grand Prairie, LLC is 1043756810. It was assigned to this organization in the NPPES registry on January 17, 2017. The provider is doing business as Premier Dialysis - West Grand Prairie.

Where is USRC West Grand Prairie, LLC located?

USRC West Grand Prairie, LLC is located at 4045 S Great Southwest Pkwy Suite 100, Grand Prairie, TX 75052. The listed phone number is (972) 375-0028.

What is USRC West Grand Prairie, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does USRC West Grand Prairie, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2128785) is associated with this NPI, valid through April 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is USRC West Grand Prairie, LLC a Medicare-certified dialysis facility?

Yes. Liberty West Grand Prairie is a Medicare-certified dialysis facility, certified since October 31, 2018.

What quality rating does USRC West Grand Prairie, LLC have?

CMS rates Liberty West Grand Prairie 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does USRC West Grand Prairie, LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list USRC West Grand Prairie, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for USRC West Grand Prairie, LLC was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.