Organization Active NPI

Usrc Kapolei, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Kapolei, HI
National Provider Identifier
1447827472
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
USRC KAPOLEI, LLC
Practice address
555 Farrington Hwy
Kapolei, HI 96707-2052
Phone
(808) 693-8980
Fax
(808) 693-8968
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
U.S. RENAL CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Thomas L. Weinberg
Title
President and Chairman
Phone
(214) 736-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

555 Farrington Hwy
Kapolei, HI 96707-2052

Mailing address

5851 Legacy Cir Ste 900
Plano, TX 75024-5982
Phone (214) 736-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211223000540 HI Part A Provider - End-Stage Renal Disease Facility (ESRD) 8527459726 Practice locations: Kapolei, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0990128Usrc Kapolei, LLC555 Farrington Hwy, Kapolei, HI 96707Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory
Part of
US Renal Care Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

555 Farrington Hwy
Kapolei, HI 96707
Phone (808) 683-8980

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1447827472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 LEGACY CIR STE 900",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245982",
            "telephone_number": "214-736-2700",
            "fax_number": "214-975-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FARRINGTON HWY",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072052",
            "telephone_number": "808-693-8980",
            "fax_number": "808-693-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USRC KAPOLEI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. RENAL CARE INC",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT AND CHAIRMAN",
        "authorized_official_telephone_number": "214-736-2700"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.