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

Q: What is Liberty Dialysis - Hawaii LLC's NPI number?

The NPI number for Liberty Dialysis - Hawaii LLC is 1124620869. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Liberty Dialysis Hawaii, Llc-Waianae Coast Nanakuli.

Q: What is Liberty Dialysis - Hawaii LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Liberty Dialysis - Hawaii LLC have?

CMS rates Liberty Waianae Coast Nanakuli 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since November 09, 2020CLIA 12D2191734 · Waiver

3/5

Overall Rating

89-102 FARRINGTON HWY, WAIANAE, HI 96792(808) 380-0626(808) 628-4078 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Oct 21, 2021, Aug 6, 2021 and 1 more (4 updates tracked since 2020).

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About Liberty Dialysis Hawaii, Llc-waianae Coast Nanakuli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DIALYSIS HAWAII, LLC-WAIANAE COAST NANAKULI (NPI 1124620869) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Waianae, Hawaii and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1124620869

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLIBERTY DIALYSIS - HAWAII LLC

Location Address89-102 FARRINGTON HWYWaianae, HI 96792-4158

Mailing Address89-102 Farrington HwyWaianae, HI 96792-4158 · (808) 380-0626 · Fax (808) 628-4078

Phone(808) 380-0626

Fax(808) 628-4078

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialBarry L. BlantonVice President · (781) 699-9000

Enumeration DateNovember 9, 2020

Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1124620869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

89-102 FARRINGTON HWY, Waianae, HI 96792

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Other Names 1

Doing Business AsLiberty Dialysis Hawaii, Llc-waianae Coast Nanakuli

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2191734

Liberty Dialysis Hawaii - Waianae Coast Nanakuli · Waianae, HI

Active · expires Aug 30, 2026

CLIA Number12D2191734

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorDr. Valerie B. Tan

Laboratory Phone(808) 380-0626

Laboratory LocationLiberty Dialysis Hawaii - Waianae Coast Nanakuli89-102 Farrington Hwy, Waianae, HI 96792

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Liberty Waianae Coast Nanakuli (CMS certification number 122538), from CMS Care Compare.

Liberty Waianae Coast Nanakuli

Dialysis facility · Waianae, HI

3/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

ChainFresenius Medical Care

CMS Certification Number122538

ESRD NetworkNetwork 17

Hemodialysis Stations36

Medicare-Certified SinceApril 26, 2021

Location89-102 FARRINGTON HWYWaianae, HI 96792 · Honolulu County

Phone(808) 380-0626

Services Offered

In-center hemodialysis

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED YOSHIAKI KUMASAKA SR. RPH

Pharmacist

89-102 FARRINGTON HWY
WAIANAE, HI 96792

Honolulu County (808) 913-6145

VERNA BROOKS

Family Medicine

89-102 FARRINGTON HWY
WAIANAE, HI 96792

Honolulu County (808) 697-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Dialysis - Hawaii LLC's NPI number?

The NPI number for Liberty Dialysis - Hawaii LLC is 1124620869. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Liberty Dialysis Hawaii, Llc-Waianae Coast Nanakuli.

Where is Liberty Dialysis - Hawaii LLC located?

Liberty Dialysis - Hawaii LLC is located at 89-102 Farrington Hwy, Waianae, HI 96792. The listed phone number is (808) 380-0626.

What is Liberty Dialysis - Hawaii LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Liberty Dialysis - Hawaii LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2191734) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Liberty Dialysis - Hawaii LLC a Medicare-certified dialysis facility?

Yes. Liberty Waianae Coast Nanakuli is a Medicare-certified dialysis facility, certified since April 26, 2021.

What quality rating does Liberty Dialysis - Hawaii LLC have?

CMS rates Liberty Waianae Coast Nanakuli 3 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

What insurance does Liberty Dialysis - Hawaii LLC accept?

Health plans from HMSA list Liberty Dialysis - Hawaii LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Dialysis - Hawaii LLC was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.