LIBERTY DIALYSIS - HAWAII LLC (NPI# 1467971465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971465 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - HAWAII LLC |
| Other Organization Name | LIBERTY DIALYSIS - HAWAII ALA MOANA |
| Practice Address |
500 Ala Moana Blvd Ste 7302 Honolulu HI 96813 |
| Mailing Address |
500 Ala Moana Blvd Ste 7302 Honolulu HI 96813-4930 |
| Practice Telephone | 8082456032 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | MARK FAWCETT (SENIOR VICE PRESIDENT & TREASURER) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| 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 | PTAN | 122533 | 01 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis - Hawaii Ala Moana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872395 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 2226 Liliha St Fl 2, Honolulu, HI 96817-1600 | 2020-05-14 |
| 1073060638 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 4380 Lumehana Street, Honolulu, HI 96818-3137 | 2016-09-01 |
| 1164684825 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 94-450 Mokuola St, Waipahu, HI 96797-3300 | 2008-06-25 |
| 1003931494 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 3625 Harding Ave, Honolulu, HI 96816-3701 | 2007-03-21 |
| 1134160187 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 78-6831 Alii Dr, Suite 336, Kailua Kona, HI 96740-2495 | 2006-06-09 |
| 1932140811 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 105 Maui Lani Parkway, Suite 105, Wailuku, HI 96793-2528 | 2006-06-09 |
| 1487810933 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 25 Kaneohe Bay Dr, Suite 230, Kailua, HI 96734-1711 | 2008-08-04 |
| Street Address |
500 ALA MOANA BLVD STE 7302 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| 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 |
|---|---|---|---|---|
| 1447872395 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 2226 Liliha St Fl 2, Honolulu, HI 96817-1600 | 2020-05-14 |
| 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 |
| 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 |
| 1003931494 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 3625 Harding Ave, Honolulu, HI 96816-3701 | 2007-03-21 |
| 1265800965 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 500 Ala Moana Blvd, Suite 7-302, Honolulu, HI 96813-4920 | 2015-09-11 |
| 1821355504 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 7192 Kalanianaole Hwy, Ste Q-101, Honolulu, HI 96825-1800 | 2012-04-18 |
| 1710253281 | Dialysis Newco Inc | Clinic/Center | 750 Palani Ave, Honolulu, HI 96816-1109 | 2012-03-28 |
| 1609142173 | Dialysis Newco Inc | Clinic/Center | 226 N Kuakini St, 2nd Floor, Honolulu, HI 96817-2488 | 2012-03-28 |
| 1346516812 | Dialysis Newco Inc | Clinic/Center | 1520 Liliha St, 1st Floor, Honolulu, HI 96817-3562 | 2012-03-28 |
| Find all providers in HONOLULU | ||||
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| 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.