Hope Dialysis Center, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

HOPE DIALYSIS CENTER, INC.

Practice address

Ili Ili Road Vaitogi
Pago Pago, AS 96799-9679

Phone

(684) 272-5256

NPI assigned

Sep 21, 2018

Last updated

Jan 14, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Fisher

Title

Managing Director

Phone

(684) 272-5256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AS

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1144704586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4099",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967994099",
            "telephone_number": "684-272-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ILI ILI ROAD VAITOGI",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967999679",
            "telephone_number": "684-272-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE DIALYSIS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "684-272-5256"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Fortuno Guevara, MBBS, PGDIP.MMEDO&G
• Patrick Daron Haisoma, MBBS
• Maryann Nanette Anesi Heather, MBCHB, BHB
• Tele Hill, FNP
• Honolulu Vamc
• Hope House
• Lavenia Inoke-Besetimoala, MBBS
• Fenumiai Alofa Iosia
• Island Link Logistics LLC
• Rodney Londari Itaki, BSCMED, MBBS, MPH

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pago Pago, AS
• Providers in Pago Pago, AS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in American Samoa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.