LIBERTY DIALYSIS HAWAII LLC (NPI# 1487037206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487037206 |
| Entity Type | Organization |
| Organization Name | LIBERTY DIALYSIS HAWAII LLC |
| Practice Address |
10 Hoohui Rd Ste 100 Lahaina HI 96761-9257 |
| Practice Telephone | 8086696628 |
| Practice Fax Number | 8086691272 |
| Mailing Telephone | 8086696628 |
| Mailing Fax Number | 8086691272 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | MRS. MELISSA-ANN SOUZA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8088562102 |
| 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 |
1060527 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700828043 | Liberty Dialysis Hawaii LLC | Clinic/Center | 86-080 Farrington Hwy, Waianae, HI 96792-3042 | 2006-06-12 |
| 1275574170 | Liberty Dialysis Hawaii LLC | Clinic/Center | 4405 Honoapiilani Hwy, Suite 208, Lahaina, HI 96761-9254 | 2006-06-10 |
| 1427099332 | Liberty Dialysis Hawaii LLC | Clinic/Center | 91-2137 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2006-06-10 |
| Street Address |
10 HOOHUI RD STE 100 |
| City | LAHAINA |
| State | HI |
| Zip Code | 96761-9257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1366821803 | Stephen Barba | Student in an Organized Health Care Education/Training Program | 154 Papalaua Street, Suite #200, Lahaina, HI 96761 | 2015-05-28 |
| 1538546866 | Christine Marie Mora | Specialist | 12 Alamoana St #a, Lahaina, HI 96761 | 2015-05-06 |
| 1982009502 | Chelsea J North | Massage Therapist | 181 Lahainaluna Road, Suite D, Lahaina, HI 96761 | 2014-10-24 |
| 1427495860 | Chandy-ann Leinaala Lopes | Naturopath | 180 Dickenson St Ste 218, Lahaina, HI 96761 | 2013-05-24 |
| 1245554138 | David Wing Lee | Podiatrist | 40 Kupuohi St Ste 204, Lahaina, HI 96761 | 2010-03-21 |
| 1871736298 | Joal Breece Dennis Sr. | Marriage & Family Therapist | 980 Front St., Lahaina, HI 96761 | 2009-04-15 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1659412021 | Jacoby Inc. | Acupuncturist | 930 Wainee Street, Suite 10, Lahaina, HI 96761 | 2007-02-09 |
| Find all providers in zip 96761 | ||||
| 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 |
|---|---|---|---|---|
| 1518020767 | St. Francis Medical Center - Kahana Dialysis | Clinic/Center | 10 Hoohui St, Suite 100, Lahaina, HI 96761-9257 | 2006-12-19 |
| 1275574170 | Liberty Dialysis Hawaii LLC | Clinic/Center | 4405 Honoapiilani Hwy, Suite 208, Lahaina, HI 96761-9254 | 2006-06-10 |
| 1619381399 | Rainbow Dialysis LLC | Clinic/Center | 305 Keawe St, Ste 503, Lahaina, HI 96761-2734 | 2014-06-20 |
| 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 |
| 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 |
| 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 |
| 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.