LIBERTY DIALYSIS - HAWAII, LLC (NPI# 1821355504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821355504 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - HAWAII, LLC |
| Practice Address |
7192 Kalanianaole Hwy Ste Q-101 Honolulu HI 96825-1800 |
| Practice Telephone | 8083946274 |
| Practice Fax Number | 8083946503 |
| Mailing Telephone | 8083946274 |
| Mailing Fax Number | 8083946503 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | MARK FAWCETT (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 | 12-2527 | 01 |
| 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 |
| 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 |
| 1740221621 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1605 | 2006-06-09 |
| Street Address |
7192 KALANIANAOLE HWY STE Q-101 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96825-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861401713 | Douglas Cambrian Wrobel | Dentist | 7192 Kalanianaole Hwy, Suite 215, Honolulu, HI 96825-1800 | 2006-08-07 |
| 1003436312 | Abe Shimoda | Physical Therapist | 7192 Kalanianaole Hwy, Honolulu, HI 96825-1800 | 2020-04-16 |
| 1609376284 | Kimpact Wellness Limited | Clinic/Center | 7192 Kalanianaole Hwy, Honolulu, HI 96825-1800 | 2018-02-20 |
| 1295100501 | Hawaii Dental Clinic LLC | Dentist | 7192 Kalanianaole Hwy, Q-103, Honolulu, HI 96825-1800 | 2015-12-11 |
| 1912339110 | Mobile Anesthesia, Inc. | Specialist | 7192 Kalanianaole Hwy, Suite A143a 191, Honolulu, HI 96825-1800 | 2013-07-30 |
| 1215287545 | Hawaii Security Alarms, LLC | Emergency Response System Companies | 7192 Kalanianaole Hwy, Suite D202, Honolulu, HI 96825 | 2012-09-13 |
| 1528313665 | Tomoko Takezawa | Contractor | 7192 Kalanianaole Hwy, Ste E207a, Honolulu, HI 96825-1800 | 2012-07-16 |
| 1780916106 | Anna Marie Dibucci | Massage Therapist | 7192 Kalanianaole Hwy, Suite E-207a, Honolulu, HI 96825-1800 | 2010-02-10 |
| 1912069188 | Aaron Ken Koseki Jr. | Speech-Language Pathologist | 7192 Kalanianaole Hwy, Ste A143a #142, Honolulu, HI 96825-1832 | 2006-12-14 |
| 1992878698 | Thomas J. Nordyke | Internal Medicine | 7192 Kalanianaole Hwy, Suite A200, Honolulu, HI 96825-1800 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544616 | Greg Keast | Social Worker | 739 Kealahou Street, Honolulu, HI 96825 | 2020-06-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1376019927 | Victoria Liou-johnson | Clinical Neuropsychologist | 7192 Kalanianaole Hwy Ste A143a #264, Honolulu, HI 96825 | 2018-10-22 |
| 1518450527 | Wendy Lin Farah | Social Worker | 7192 Kalanianaole Highway, Suite A143a #276, Honolulu, HI 96825 | 2018-06-13 |
| 1699175125 | Kathy Akiyo Maemori | Speech-Language Pathologist | 418 Opihkao Pl, Honolulu, HI 96825 | 2014-09-03 |
| 1386994697 | Brian Alexander O'hara | Pediatrics | 6750 Hawaii Kai Drive #1208, Honolulu, HI 96825 | 2012-09-13 |
| 1356617112 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7192 Kalanianaole Hwy Ste C119, Honolulu, HI 96825 | 2012-03-27 |
| 1104065085 | Keith A. Vodzak | Dentist | 377 Keahole St., Suite #211, Honolulu, HI 96825 | 2009-02-17 |
| 1528219144 | Yoko Kokuni | Counselor | 340 Kawaihae St. #340f, Honolulu, HI 96825 | 2008-10-01 |
| 1982876371 | Alayne Yates | Psychiatry & Neurology | 242 Opihikao Way, Honolulu, HI 96825 | 2008-03-26 |
| Find all providers in zip 96825 | ||||
| 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 |
| 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.