LIBERTY DIALYSIS - HAWAII, LLC (NPI# 1467507103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467507103 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS - HAWAII, LLC |
| Other Organization Name | LIBERTY DIALYSIS HAWAII - MOLOKAI DIALYSIS |
| Practice Address |
28 Kamoi Street Suite 400 Kaunakakai HI 96748 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 8085538088 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-01-15 |
| 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 | 582503 | 05 |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis Hawaii - Molokai 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 |
| 1740221621 | Liberty Dialysis - Hawaii, LLC | Clinic/Center | 2226 Liliha St, Suite 226, Honolulu, HI 96817-1605 | 2006-06-09 |
| Street Address |
28 KAMOI STREET SUITE 400 |
| City | KAUNAKAKAI |
| State | HI |
| Zip Code | 96748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497776157 | Dana S Takashima | Dentist | 28 Kamoi Street, Suite 200, Kaunakakai, HI 96748 | 2006-07-21 |
| 1265675003 | Dana S. Takashima Dds | Dentist | 28 Kamoi Street, Suite 200, Kaunakakai, HI 96748-1276 | 2009-04-09 |
| 1538389747 | Kelly Go | Pharmacist | 28 Kamoi Street, Suite 100, Kaunakakai, HI 96748-0558 | 2007-04-27 |
| 1588729354 | Lydia Jina Lee | Social Worker | 28 Kamoi Street, Suite 600, Kaunakakai, HI 96748 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056154 | Molokai Physical Therapy & Rehabilitation LLC | Clinic/Center | 109 Ala Malama St Unit A, Kaunakakai, HI 96748 | 2020-06-05 |
| 1053953612 | Natalie Luczon | Massage Therapist | 30 Oki Pl, Kaunakakai, HI 96748 | 2019-10-15 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1285008565 | Dino Akai | Nurse Practitioner | 30 Oki Pl., Kaunakakai, HI 96748 | 2015-11-24 |
| 1730567181 | Pakolea Rehab | Residential Treatment Facility, Physical Disabilities | 2 Kamoi St, Suite 300, Kaunakakai, HI 96748 | 2015-05-18 |
| 1366843740 | Dean K Chow | Chiropractor | 101 Ala Malama St Ste 103, Kaunakakai, HI 96748 | 2014-09-04 |
| 1427491448 | Genevieve F Correa | Physical Therapist | 93 Ala Malama Ave, Building B Unit A, Kaunakakai, HI 96748 | 2013-04-09 |
| 1679800882 | Ka Hale Pomaika'i | Community/Behavioral Health | Hc-01 Box 372 Kamehameha V Hwy, Ualapu'e, HI 96748 | 2009-11-09 |
| 1811222854 | Chris K Chow Dds Inc | Dentist | 15 Kaunakakai Pl, Suite 6, Kaunakakai, HI 96748 | 2009-10-08 |
| 1669605598 | Hale Ho'okupa'a | Community/Behavioral Health | 450 Ala Malama Avenue, Kaunakakai, HI 96748 | 2009-08-26 |
| Find all providers in zip 96748 | ||||
| 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 |
|---|---|---|---|---|
| 1053474221 | St. Francis Medical Center - Molokai Dialysis | Clinic/Center | 28 Kamoi St, Suite 400, Kaunakakai, HI 96748 | 2006-12-19 |
| 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 | ||||
| City | KAUNAKAKAI |
| Zip Code | 96748 |
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.