{"npi":"1700828043","type":"NPI-2","status":"active","name":{"display":"Liberty Dialysis - Hawaii LLC","other":[],"organization_name":"LIBERTY DIALYSIS - HAWAII LLC","authorised_official":"Barry Blanton"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"86-080 FARRINGTON HWY STE 101","city":"WAIANAE","state":"HI","postal_code":"967923069","country_code":"US","phone":"8086960216","fax":"8086960345"},{"purpose":"MAILING","street_1":"86-080 FARRINGTON HWY STE 101","city":"WAIANAE","state":"HI","postal_code":"967923069","country_code":"US","phone":"8086960216","fax":"8086960345"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00C0257463","state":"HI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051213000913","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"HI","pac_id":"1456372879"}]},"enumeration_date":"2006-06-12","last_updated":"2023-10-17","_meta":{"source":"NPPES","snapshot_date":"2023-10-17","doc_url":"https://findmynpi.com/api"}}