LIBERTY DIALYSIS CALDWELL
NPI 1255643243
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Caldwell, ID
Overall Rating: 4 out of 5 stars
NPI Status: Active since July 08, 2010
Contact Information
4620 ENTERPRISE WAY STE 101
CALDWELL, ID
ZIP 83605
Phone: (208) 454-1101
Fax: (208) 454-9868
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 13D2013218
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 09-16-2027
About LIBERTY DIALYSIS CALDWELL
This page provides the complete NPI Profile along with additional information for Liberty Dialysis Caldwell, a provider established in Caldwell, Idaho operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1255643243 assigned on July 2010. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Liberty Dialysis Caldwell. The authorized official of this NPI record is Barry L. Blanton (Vice President)
- NPI
- 1255643243
- Provider Legal Name
- LDCD, LLC
- Other Organization Name
- LIBERTY DIALYSIS CALDWELL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4620 ENTERPRISE WAY STE 101 CALDWELL, ID 83605
- Location Phone
- (208) 454-1101
- Location Fax
- (208) 454-9868
- Mailing Address
- 4620 ENTERPRISE WAY STE 101 CALDWELL, ID 83605
- Mailing Phone
- (208) 454-1101
- Mailing Fax
- (208) 454-9868
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-08-2010
- Last Update Date
- 10-17-2023
- Code Navigator
According to the Dialysis Facility Compare program data, Liberty Dialysis Caldwell has an above average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 4 out of 5 stars.
Location Map
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:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2013218
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- September 17, 2025
- Certificate Expiration Date
- September 16, 2027
- Laboratory Director
- JOEL GROOMS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty Dialysis Caldwell to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LIBERTY DIALYSIS CALDWELL
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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 1255643243, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CALDWELL, ID 83605
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255643243, enumerated as an "organization" on July 08, 2010.
The provider is located at 4620 ENTERPRISE WAY STE 101 CALDWELL, ID 83605 and the phone number is (208) 454-1101.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.
