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LIBERTY AT HOME DIALYSIS, LLC
NPI 1821477415
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dallas, TX

Active since May 28, 2015CLIA 45D2119806 · Waiver
5535 RED BIRD CENTER DR, SUITE 150, DALLAS, TX 75237(214) 331-1112(214) 331-1115 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty At Home Dialysis, Llc NPPES

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

LIBERTY AT HOME DIALYSIS, LLC (NPI 1821477415) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Dallas, Texas and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Robert Santelli, Member, as its authorized official.

NPPES Registry Identity

NPI1821477415
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLIBERTY AT HOME DIALYSIS, LLC
Location Address5535 RED BIRD CENTER DR, SUITE 150Dallas, TX 75237-1921
Mailing Address5535 Red Bird Center Dr, Suite 150Dallas, TX 75237-1921 · (214) 331-1112
Phone(214) 331-1112
Fax(214) 331-1115
Organization SubpartNo
Authorized OfficialRobert SantelliMember · (206) 236-5001
Enumeration DateMay 28, 2015
Last NPPES UpdateAugust 18, 2016
✔ NPI 1821477415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
Also ListedHome HealthTaxonomy 251E00000X · License 017487 (TX)
5535 RED BIRD CENTER DR, Dallas, TX 75237
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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 45D2119806

Liberty At Home Dialysis, LLC · Dallas, TX
Active · expires Oct 3, 2026
CLIA Number45D2119806
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateOctober 3, 2026
Laboratory DirectorAjay Shubhadeep Kallam
Laboratory Phone(214) 331-1112
Laboratory LocationLiberty At Home Dialysis, LLC5535 Redbird Center Dr Suite 150, Dallas, TX 75237
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Liberty At Home Dialysis, LLC's NPI number?

The NPI number for Liberty At Home Dialysis, LLC is 1821477415. It was assigned to this organization in the NPPES registry on May 28, 2015.

Where is Liberty At Home Dialysis, LLC located?

Liberty At Home Dialysis, LLC is located at 5535 Red Bird Center Dr Suite 150, Dallas, TX 75237. The listed phone number is (214) 331-1112.

What is Liberty At Home Dialysis, 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 Liberty At Home Dialysis, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2119806) is associated with this NPI, valid through October 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty At Home Dialysis, LLC was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.