Liberty Dialysis-Hawaii LLC

Primary specialty

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

Legal business name

LIBERTY DIALYSIS-HAWAII LLC

Practice address

1831 Wili PA Loop
Wailuku, HI 96793-1273

Phone

(808) 242-6400

Fax

(808) 244-5712

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Denise Vanvalkenburgh

Title

Vice President Clinical Operations

Phone

(478) 798-8003

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1265537302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "SUITE 226",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-585-4600",
            "fax_number": "808-585-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILI PA LOOP",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931273",
            "telephone_number": "808-242-6400",
            "fax_number": "808-244-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY DIALYSIS-HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "VANVALKENBURGH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "478-798-8003",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Lehano, PHARMD
• Healani K Leite-Ah Yo, DPT
• Paula T. Lenny, MD
• Lauren Levine, PHARMD
• Liberty Dialysis - Hawaii LLC
• Lauaeliilii Lind, RBT
• Kathrine Lindeman, LMT
• Eliza Lipp
• Jonathan Livingston, DO
• Zabrie Loio, RBT

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wailuku, HI
• Providers in Wailuku, HI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.