LIBERTY AT HOME DIALYSIS, LLC
NPI 1821477415
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Dallas, TX
NPI Status: Active since May 28, 2015
Contact Information
5535 RED BIRD CENTER DR
SUITE 150
DALLAS, TX
ZIP 75237
Phone: (214) 331-1112
Fax: (214) 331-1115
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 45D2119806
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 10-03-2026
About LIBERTY AT HOME DIALYSIS, LLC
This page provides the complete NPI Profile along with additional information for Liberty At Home Dialysis, Llc, a provider established in Dallas, Texas operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1821477415 assigned on May 2015. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Robert Santelli (Member)
- NPI
- 1821477415
- Provider Name
- LIBERTY AT HOME DIALYSIS, LLC
- Entity Type
- Organization
- Location Address
- 5535 RED BIRD CENTER DR SUITE 150 DALLAS, TX 75237
- Location Phone
- (214) 331-1112
- Location Fax
- (214) 331-1115
- Mailing Address
- 5535 RED BIRD CENTER DR SUITE 150 DALLAS, TX 75237
- Mailing Phone
- (214) 331-1112
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2015
- Last Update Date
- 08-18-2016
- Code Navigator
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
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | 017487 (TX) |
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
- 45D2119806
- Facility Type
- Home Health Agency
- Certificate Effective Date
- October 04, 2024
- Certificate Expiration Date
- October 03, 2026
- Laboratory Director
- AJAY SHUBHADEEP KALLAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Liberty At Home Dialysis, Llc 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.
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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 1821477415, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821477415, enumerated as an "organization" on May 28, 2015.
The provider is located at 5535 RED BIRD CENTER DR SUITE 150 DALLAS, TX 75237 and the phone number is (214) 331-1112.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
