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GRAND CONCOURSE DIALYSIS FACILITY
NPI 1740400431
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bronx, NY

Active since April 26, 2007CLIA 33D2047484 · Waiver
3/5
Overall Rating
1780 GRAND CONCOURSE, BRONX, NY 10457(718) 583-1800(718) 583-4160 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Concourse Dialysis Facility NPPES

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

GRAND CONCOURSE DIALYSIS FACILITY (NPI 1740400431) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bronx, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Dominic Licciardi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1740400431
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCONCOURSE REPLACEMENT LLC
Location Address1780 GRAND CONCOURSEBronx, NY 10457-5500
Mailing Address97 New Dorp LnStaten Island, NY 10306-1796 · (718) 448-5641 · Fax (718) 876-5969
Phone(718) 583-1800
Fax(718) 583-4160
Organization SubpartNo
Authorized OfficialDominic LicciardiAdministrator · (718) 987-5942
Enumeration DateApril 26, 2007
Last NPPES UpdateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1740400431 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
1780 GRAND CONCOURSE, Bronx, NY 10457
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Concourse Dialysis Facility

Other Identifiers 1

Medicaid02986203NY

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 33D2047484

Grand Concourse Dialysis Facility · Bronx, NY
Active · expires Mar 26, 2027
CLIA Number33D2047484
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateSeptember 25, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Morton J. Kleiner
Laboratory Phone(718) 583-1800
Laboratory LocationGrand Concourse Dialysis Facility1490 Macombs Rd, Bronx, NY 10452
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 Grand Concourse Dialysis Facility (CMS certification number 332642), from CMS Care Compare.

Grand Concourse Dialysis Facility

Dialysis facility · Bronx, NY
3/5 CMS RatingRating period January 2020 to December 2023
OwnershipProfit
CMS Certification Number332642
ESRD NetworkNetwork 2
Hemodialysis Stations27
Medicare-Certified SinceJune 28, 2004
Location1780 GRAND CONCOURSEBronx, NY 10457 · Bronx County
Phone(718) 583-1800
Services Offered
In-center hemodialysis Evening shifts (after 5 PM)

Patient Survey Results

Nephrologists’ communication and caring
Patients who reported their kidney doctors always communicated well and cared for them as a person.
73% 4/5
Dialysis center care and operations
Patients who reported center staff always communicated well, kept them as comfortable as possible, behaved professionally and kept the center clean.
68% 3/5
Providing information to patients
Patients who reported their kidney doctors and center staff gave them the information they needed to care for their health.
78% 3/5
Rating of the kidney doctors
Patients who rated their kidney doctors 9 or 10 on a scale of 0 (worst) to 10 (best).
49% 3/5
Rating of the dialysis center staff
Patients who rated the center staff 9 or 10 on a scale of 0 (worst) to 10 (best).
63% 4/5
Rating of the dialysis center
Patients who rated the dialysis center 9 or 10 on a scale of 0 (worst) to 10 (best).
63% 3/5
Percentages are patients giving the best possible responses in the In-Center Hemodialysis (ICH CAHPS) patient survey. Star ratings are assigned by CMS on a one-to-five star scale; five is the highest.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA SAMPSON
Social Worker
1780 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 228-1515
CASSANDRA JARZYNA
Counselor (Mental Health)
1780 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (732) 447-3436
SEAN ALAN BELLGOWAN
Social Worker
1780 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (929) 243-2783
ISLAND REHABILITATIVE SERVICES/BRONX
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1780 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-1800
NICOLE MANGULABNAN RN
Registered Nurse
1780 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 583-1800

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 Concourse Replacement LLC's NPI number?

The NPI number for Concourse Replacement LLC is 1740400431. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is doing business as Grand Concourse Dialysis Facility.

Where is Concourse Replacement LLC located?

Concourse Replacement LLC is located at 1780 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 583-1800.

What is Concourse Replacement 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 Concourse Replacement LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2047484) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Concourse Replacement LLC a Medicare-certified dialysis facility?

Yes. Grand Concourse Dialysis Facility is a Medicare-certified dialysis facility, certified since June 28, 2004.

What quality rating does Concourse Replacement LLC have?

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

When was this NPI record last updated?

The NPPES record for Concourse Replacement LLC was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.