LIBERTY DIALYSIS - CASTLE ROCK LLC
NPI 1255509170
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Castle Rock, CO

NPI Status: Active since February 13, 2008

Contact Information

4352 TRAIL BOSS DR
CASTLE ROCK, CO
ZIP 80104
Phone: (206) 236-5001

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About LIBERTY DIALYSIS - CASTLE ROCK LLC

This page provides the complete NPI Profile along with additional information for Liberty Dialysis - Castle Rock Llc, a provider established in Castle Rock, Colorado operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1255509170 assigned on February 2008. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ryan B Pardo (Vice President)

NPI
1255509170
Provider Name
LIBERTY DIALYSIS - CASTLE ROCK LLC
Entity Type
Organization
Location Address
4352 TRAIL BOSS DR CASTLE ROCK, CO 80104
Location Phone
(206) 236-5001
Mailing Address
7650 SE 27TH ST SUITE 200 MERCER ISLAND, WA 98040
Mailing Phone
(206) 236-5001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2008
Last Update Date
04-06-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RYAN B PARDO

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(206) 816-6506

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
062565MEDICARE OSCAR/CERTIFICATION (06)CO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255509170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 0 + 0 + 1 + 8 + 1 + 1 + 4 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1255509170.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4352 TRAIL BOSS DR
CASTLE ROCK, CO 80104
Internal Medicine (Nephrology)
4352 TRAIL BOSS DR
CASTLE ROCK, CO 80104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255509170, enumerated as an "organization" on February 13, 2008.

The provider is located at 4352 TRAIL BOSS DR CASTLE ROCK, CO 80104 and the phone number is (206) 236-5001.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.