LIBERTY DIALYSIS - HAWAII, LLC (NPI# 1740221621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740221621 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - HAWAII, LLC |
| Other Organization Name | LIBERTY DIALYSIS HAWAII - SIEMSEN DIALYSIS |
| Practice Address |
2226 Liliha St Suite 226 Honolulu HI 96817-1605 |
| Practice Telephone | 8085854660 |
| Practice Fax Number | 8085854662 |
| Mailing Telephone | 8085854660 |
| Mailing Fax Number | 8085854662 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | MR. MARK R. 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 | 00E0257468 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis Hawaii - Siemsen Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1346528494 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 500 Ala Moana Blvd, Bldg 7, Suite 302, Honolulu, HI 96813-4920 | 2011-07-22 |
| 1467507103 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 28 Kamoi Street, Suite 400, Kaunakakai, HI 96748 | 2007-01-24 |
| Street Address |
2226 LILIHA ST SUITE 226 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568416 | David A Naai | Specialist | 2226 Liliha St, Ste 306, Honolulu, HI 96817-1605 | 2005-06-16 |
| 1588208912 | Alan L Villegas | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2019-10-29 |
| 1588170278 | Jamie Michelle West | Behavior Technician | 2226 Liliha St, Honolulu, HI 96817-1600 | 2017-12-18 |
| 1083073886 | Hawaii Nephrologists LLC | Internal Medicine | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1600 | 2016-02-22 |
| 1639551146 | Ma. Clarisse Toledo-santos LLC | Internal Medicine | 2226 Liliha St, Suite 306, Honolulu, HI 96817-1600 | 2015-06-19 |
| 1801291562 | Lee Hoang | Physical Therapist | 2226 Liliha St, Honolulu, HI 96817-1600 | 2014-10-23 |
| 1104246446 | Pacific Endoscopy Center LLC | Clinic/Center | 2226 Liliha St, Ste. 307, Honolulu, HI 96817-1600 | 2014-04-25 |
| 1326464694 | Franz Yuen Physical Therapy LLC | Physical Therapist | 2226 Liliha St, Suite 404, Honolulu, HI 96817-1600 | 2014-03-11 |
| 1598106247 | Damien Tavares Md, LLC | Clinic/Center | 2226 Liliha St, Suite 407, Honolulu, HI 96817-1600 | 2013-07-10 |
| 1689019176 | Glenn M. L. Pang, Md, Inc | Non-Pharmacy Dispensing Site | 2226 Liliha St, Suite 405, Honolulu, HI 96817-1600 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| 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 |
| 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 |
| 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 |
| 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.