LIBERTY DIALYSIS - NORTH HAWAII, LLC
NPI 1093854622
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Kamuela, HI

NPI Status: Active since February 06, 2007

Contact Information

67-1123 MAMALAHOA HWY STE 112
KAMUELA, HI
ZIP 96743
Phone: (808) 930-2001
Fax: (808) 885-1506

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 12D1086382
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-19-2027

About LIBERTY DIALYSIS - NORTH HAWAII, LLC

This page provides the complete NPI Profile along with additional information for Liberty Dialysis - North Hawaii, Llc, a provider established in Kamuela, Hawaii operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1093854622 assigned on February 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Liberty Dialysis - North Hawaii, Llc. The authorized official of this NPI record is Barry L. Blanton (Vice President)

NPI
1093854622
Provider Legal Name
LIBERTY DIALYSIS-NORTH HAWAII LLC
Other Organization Name
LIBERTY DIALYSIS - NORTH HAWAII, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
67-1123 MAMALAHOA HWY STE 112 KAMUELA, HI 96743
Location Phone
(808) 930-2001
Location Fax
(808) 885-1506
Mailing Address
67-1123 MAMALAHOA HWY STE 112 KAMUELA, HI 96743
Mailing Phone
(808) 930-2001
Mailing Fax
(808) 885-1506
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-06-2007
Last Update Date
10-17-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BARRY L. BLANTON

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(781) 699-9000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D1086382
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 20, 2025
Certificate Expiration Date
August 19, 2027
Laboratory Director
WEI BOON OOI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Liberty Dialysis - North Hawaii, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093854622, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 6 + 5 + 8 + 6 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1093854622.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093854622, enumerated as an "organization" on February 06, 2007.

The provider is located at 67-1123 MAMALAHOA HWY STE 112 KAMUELA, HI 96743 and the phone number is (808) 930-2001.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.