LIBERTY DIALYSIS HAWAII LLC (NPI# 1427099332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427099332 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS HAWAII LLC |
| Other Organization Name | LIBERTY DIALYSIS HAWAII - LEEWARD DIALYSIS |
| Practice Address |
91-2137 Fort Weaver Rd Ewa Beach HI 96706-1993 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 8086713042 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MR. RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 00I0257460 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis Hawaii - Leeward Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487037206 | Liberty Dialysis Hawaii LLC | Clinic/Center | 10 Hoohui Rd Ste 100, Lahaina, HI 96761-9257 | 2015-06-30 |
| 1700828043 | Liberty Dialysis Hawaii LLC | Clinic/Center | 86-080 Farrington Hwy, Waianae, HI 96792-3042 | 2006-06-12 |
| 1275574170 | Liberty Dialysis Hawaii LLC | Clinic/Center | 4405 Honoapiilani Hwy, Suite 208, Lahaina, HI 96761-9254 | 2006-06-10 |
| Street Address |
91-2137 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104017649 | Cathleen Tomie Sanpei | Dietitian, Registered | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2007-08-08 |
| 1528121902 | St. Francis Medical Center - Leeward Dialysis | Clinic/Center | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059168 | Usrc Ewa Beach, LLC | Clinic/Center | 91-919 Fort Weaver Rd Ste 110, Ewa Beach, HI 96706-2257 | 2020-03-27 |
| 1528121902 | St. Francis Medical Center - Leeward Dialysis | Clinic/Center | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160909 | Usrc Waianae, LLC | Clinic/Center | 86-120 Farrington Hwy Ste B211, Waianae, HI 96792-3072 | 2020-10-08 |
| 1447872395 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 2226 Liliha St Fl 2, Honolulu, HI 96817-1600 | 2020-05-14 |
| 1467971465 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 500 Ala Moana Blvd Ste 7302, Honolulu, HI 96813 | 2017-09-12 |
| 1073060638 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 4380 Lumehana Street, Honolulu, HI 96818-3137 | 2016-09-01 |
| 1366804478 | Usrc Beretania, LLC | Clinic/Center | 1908 S Beretania St, Honolulu, HI 96826-1308 | 2016-03-28 |
| 1487037206 | Liberty Dialysis Hawaii LLC | Clinic/Center | 10 Hoohui Rd Ste 100, Lahaina, HI 96761-9257 | 2015-06-30 |
| 1881075414 | Dialysis Newco Inc | Clinic/Center | 889 Kamokila Blvd, Kapolei, HI 96707-2061 | 2015-06-09 |
| 1497017495 | Dialysis Newco Inc | Clinic/Center | 94-862 Kahuailani St, Waipahu, HI 96797-3341 | 2012-06-14 |
| 1164684825 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 94-450 Mokuola St, Waipahu, HI 96797-3300 | 2008-06-25 |
| 1083882641 | Fresenius Medical Care Comprehensive Ckd Services Inc | Clinic/Center | 500 Ala Moana Blvd Bldg 7, Suite 302, Honolulu, HI 96813-4920 | 2008-02-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERTY DIALYSIS HAWAII LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.