LIBERTY DIALYSIS HAWAII, LLC-WAIANAE COAST NANAKULI
NPI 1124620869
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Waianae, HI


Overall Rating: 3 out of 5 stars

NPI Status: Active since November 09, 2020

Contact Information

89-102 FARRINGTON HWY
WAIANAE, HI
ZIP 96792
Phone: (808) 380-0626
Fax: (808) 628-4078

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 12D2191734
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-30-2026

About LIBERTY DIALYSIS HAWAII, LLC-WAIANAE COAST NANAKULI

This page provides the complete NPI Profile along with additional information for Liberty Dialysis Hawaii, Llc-waianae Coast Nanakuli, a provider established in Waianae, 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 1124620869 assigned on November 2020. 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 Hawaii, Llc-waianae Coast Nanakuli. The authorized official of this NPI record is Barry L. Blanton (Vice President)

NPI
1124620869
Provider Legal Name
LIBERTY DIALYSIS - HAWAII LLC
Other Organization Name
LIBERTY DIALYSIS HAWAII, LLC-WAIANAE COAST NANAKULI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
89-102 FARRINGTON HWY WAIANAE, HI 96792
Location Phone
(808) 380-0626
Location Fax
(808) 628-4078
Mailing Address
89-102 FARRINGTON HWY WAIANAE, HI 96792
Mailing Phone
(808) 380-0626
Mailing Fax
(808) 628-4078
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-09-2020
Last Update Date
10-23-2023
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According to the Dialysis Facility Compare program data, Liberty Dialysis Hawaii, Llc-waianae Coast Nanakuli has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.

Location Map

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

Dialysis Facility Compare Information

Quality of Patient Care Rating Quality of Patient Care Rating
The Medicare program calculates star ratings using specific measure data reported by dialysis centers to Medicare and data from the In-Center Hemodialysis CAHPS Survey.
- 3 out of 5 stars - Average
Dialysis Facility TypeProfit
Is it part of a chain?Yes
Corporate NameFresenius Medical Care
Shifts Starting After 5PM Shifts Starting After 5PM
If you can start your dialysis treatment at 5pm or later. These centers may also offer the ability for you to receive dialysis while you sleep.
No
In-Center Hemodialysis In-Center Hemodialysis
Hemodialysis is the most common method for treating advanced and permanent kidney failure. In hemodialysis, your blood flows slowly through a filter to remove wastes and extra fluids and the clean blood is returned to your body.
Yes
Number of Hemodialysis Stations Number of Hemodialysis Stations
The number of hemodialysis stations in the dialysis facility.
36
Peritoneal Dialysis Peritoneal Dialysis
Peritoneal dialysis is a treatment for kidney failure that uses the lining of your abdomen, or belly, to filter your blood inside your body. It uses a soft tube to fill your abdomen with a cleansing liquid that removes waste products from your body and the liquid is drained out of your body after a few hours.
No
Home Hemodialysis Training Home Hemodialysis Training
If the dialysis center offers training for patients and caregivers to learn to do hemodialysis treatments at home.
No
Certification or Recertification Date04-26-2021

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
12D2191734
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 31, 2024
Certificate Expiration Date
August 30, 2026
Laboratory Director
DR. VALERIE B. TAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Liberty Dialysis Hawaii, Llc-waianae Coast Nanakuli 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.

Reviews for LIBERTY DIALYSIS HAWAII, LLC-WAIANAE COAST NANAKULI

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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 1124620869, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 2 → 4 6 → 12 → 3 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 4 + 4 + 1 + 2 + 2 + 0 + 8 + 1 + 2 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124620869.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist
89-102 FARRINGTON HWY
WAIANAE, HI 96792
Student in an Organized Health Care Education/Training Program
89-102 FARRINGTON HWY
WAIANAE, HI 96792

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124620869, enumerated as an "organization" on November 09, 2020.

The provider is located at 89-102 FARRINGTON HWY WAIANAE, HI 96792 and the phone number is (808) 380-0626.

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.