LIBERTY DIALYSIS-HAWAII LLC (NPI# 1265537302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265537302 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS-HAWAII LLC |
| Practice Address |
1831 Wili Pa Loop Wailuku HI 96793-1273 |
| Mailing Address |
2226 Liliha St Suite 226 Honolulu HI 96817-1600 |
| Practice Telephone | 8082426400 |
| Practice Fax Number | 8082445712 |
| Mailing Telephone | 8085854600 |
| Mailing Fax Number | 8085854601 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | MS. DENISE VANVALKENBURGH (VICE PRESIDENT CLINICAL OPERATIONS) |
| Authorized Official Telephone | 4787988003 |
| 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 |
| Street Address |
1831 WILI PA LOOP |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| 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 |
|---|---|---|---|---|
| 1538222906 | St. Francis Medical Center - Maui Dialysis | Clinic/Center | 255 Mahalani St, Wailuku, HI 96793-2526 | 2006-12-18 |
| 1932140811 | Liberty Dialysis - Hawaii LLC | Clinic/Center | 105 Maui Lani Parkway, Suite 105, Wailuku, HI 96793-2528 | 2006-06-09 |
| 1073888194 | Rainbow Dialysis LLC | Clinic/Center | 80 Mahalani St, Ste 100, Wailuku, HI 96793-2531 | 2012-03-22 |
| 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 |
| 1164059168 | Usrc Ewa Beach, LLC | Clinic/Center | 91-919 Fort Weaver Rd Ste 110, Ewa Beach, HI 96706-2257 | 2020-03-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.