END STAGE RENAL DISEASE (ESRD) PROGRAM

NUMBER	FACILITY	LOCATION
1	FRESENIUS MEDICAL CARE – LANAI COMMUNITY DIALYSIS CENTER 628 7^th Street Lanai City, Hawaii 96763 Jane Idica, RN, CNN Operations ManagerMailing Address: P.O. Box 797 Lanai City, Hawaii 96763 Ph: (808) 565-9650 Fax: (808) 565-6357 Correspondence Address: Fresenius Medical Care – Hawaii Region Kapolei Building, Suite 245 1001 Kamokila Boulevard Kapolei, Hawaii 96707 CCN: 122506	LANAI
2	LIBERTY DIALYSIS – HAWAII LLC – ALA MOANA DIALYSIS FACILITY 500 Ala Moana Boulevard, Suite 7302 Honolulu, Hawaii 96813 Ph: (808) 245-6032 Fax: (808) 245-6033 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122532	OAHU
3	LIBERTY DIALYSIS – HAWAII LLC – HAWAII KAI DIALYSIS 7192 Kalanianaole Highway, Suite Q-101 Honolulu, Hawaii 96825 Ph: (808) 394-6274 Fax: (808) 394-6503 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122527	OAHU
4	LIBERTY DIALYSIS – HAWAII LLC – HILO DIALYSIS FACILITY 140 Rainbow Drive Hilo Hawaii 96720 Ph: (808) 935-3422 Fax: (808) 934-7901 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122507	HAWAII
5	LIBERTY DIALYSIS – HAWAII LLC – KAHANA DIALYSIS FACILITY 4405 Lower Honoapiilani Hwy, Suite 108 Lahaina, Hawaii 96761 Ph: (808) 669-6628 Fax: (808) 669-1272 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122515	MAUI
6	LIBERTY DIALYSIS – HAWAII LLC – KAILUA DIALYSIS FACILITY 25 Kaneohe Bay Drive, Suite 230 Kailua, Hawaii 96734-1711 Ph: (808) 236-5001 Fax: (808) 236-5002 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122524	OAHU
7	LIBERTY DIALYSIS – HAWAII – KAIMUKI DIALYSIS FACILITY 3625 Harding Avenue Honolulu, Hawaii 96816-3701 Ph: (808) 735-2585 Fax: (808) 734-2583 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808)585-4601 CCN: 122520	OAHU
8	LIBERTY DIALYSIS – HAWAII LLC – KAUAI DIALYSIS FACILITY 3224 Elua Street Lihue, Hawaii 96766 Ph: (808) 245-3770 Fax: (808) 245-2390 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122511	KAUAI
9	LIBERTY DIALYSIS – HAWAII LLC – KONA DIALYSIS FACILITY 78-6831 Alii Drive, Suite 336 Kailua Kona, Hawaii 96740 Ph: (808) 322-2131 Fax: (808) 322-0605 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122513	HAWAII
10	LIBERTY DIALYSIS – HAWAII LLC – LEEWARD DIALYSIS FACILITY 91-2137 Fort Weaver Road Ewa Beach, Hawaii 96706 Ph: (808) 671-3042 Fax: (808) 677-7903 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122512	OAHU
11	LIBERTY DIALYSIS – MAUI DIALYSIS FACILITY 105 Maui Lani Parkway, Suite 105 Wailuku, Hawaii 96793-2528 Ph: (808) 244-9600 Fax: (808) 244-5712 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122510	MAUI
12	LIBERTY DIALYSIS – HAWAII LLC – MILILANI DIALYSIS FACILITY 95-1105 Ainamakua Drive Mililani, Hawaii 96789 Ph: (808) 626-6419 Fax: (808) 626-2354 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122533	OAHU
13	LIBERTY DIALYSIS – HAWAII LLC – MOLOKAI DIALYSIS FACILITY 28 Kamoi Street, Suite 400 Kaunakakai, Hawaii 96748 Ph: (808) 553-8088 Fax: (808) 553-3210 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122517	MOLOKAI
14	LIBERTY DIALYSIS – NORTH HAWAII LLC 67-1123 Mamalahoa Highway, Suite 112 Kamuela, Hawaii 96743 Ph: (808) 930-2001 Fax: (808) 885-1506 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122519	HAWAII
15	LIBERTY DIALYSIS – HAWAII LLC – SALT LAKE DIALYSIS FACILITY 4380 Lawehana Street, Suite 100 Honolulu, Hawaii 96818 Ph: (808) 423-6828 Fax: (808) 422-6049 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122530	OAHU
16	LIBERTY DIALYSIS – HAWAII LLC – SIEMSEN HOME DIALYSIS FACILITY 2230 Liliha Street, Suite 200 Honolulu, Hawaii 96817-1646 Ph: (808) 585-4648 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122536	OAHU
17	LIBERTY DIALYSIS – HAWAII LLC – SULLIVAN DIALYSIS FACILITY 2230 Liliha Street, Lvl B Honolulu, Hawaii 96817-1646 Ph: (808) 585-4600 Fax: (808) 585-4601 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122518	OAHU
18	LIBERTY DIALYSIS – HAWAII LLC – WAIANAE COAST NANAKULI 89-102 Farrington Highway Waianae, Hawaii 96792 Ph: (808) 380-0626 Fax: (808) 628-4078 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122538	OAHU
19	LIBERTY DIALYSIS – HAWAII LLC – WAIANAE DIALYSIS FACILITY 86-080 Farrington Highway Waianae, Hawaii 96792 Ph: (808) 696-0216 Fax: (808) 696-0345 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122514	OAHU
20	LIBERTY DIALYSIS – HAWAII LLC – WAIPAHU DIALYSIS FACILITY 94-450 Mokuola Street, Suite 109 Waipahu, Hawaii 96797 Ph: (808) 697-2200 Fax: (808) 678-3961 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122522	OAHU
21	LIBERTY DIALYSIS – HAWAII LLC – WEST KAUAI DIALYSIS FACILITY 4643 A Waimea Canyon Drive Waimea, Hawaii 96796 Ph: (808) 338-1100 Fax: (808) 338-1185 Correspondence Address: Jocelyn M. Saccamago Regional Vice President Liberty Dialysis Hawaii 2226 Liliha Street, Suite 226 Honolulu, Hawaii 96817 Ph. (808) 585-4600 Fax: (808) 585-4601 CCN: 122516	KAUAI
22	RAINBOW DIALYSIS LAHAINA 305 Keawe Street, Suite 503 Lahaina, Hawaii 96761 Ph: (808) 661-8372 Fax: (808) 661-9484 CCN: 122528	MAUI
23	RAINBOW DIALYSIS WAILUKU 80 Mahalani Parkway, Suite 100 Wailuku, Hawaii 96793 Ph: (808) 298-0555 Fax: (808) 633-4884 CCN: 122526	MAUI
24	U.S. RENAL CARE ALOHA DIALYSIS 1520 Liliha Street, 1st Floor Honolulu, Hawaii 96817 Ph: (808) 531-1748 Fax: (808) 531-1501 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122503	OAHU
25	U.S. RENAL CARE BERETANIA DIALYSIS 1908 South Beretania Street, Suite 1 Honolulu, Hawaii 96826 Ph: (808) 947-2797 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122531	OAHU
26	U.S. RENAL CARE EWA BEACH DIALYSIS 91-919 Fort Weaver Road Ewa Beach, Hawaii 96706 Ph: (808) 664-8370 Fax: (808) 664-8374 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122535	OAHU
27	U.S. RENAL CARE HONOLULU DIALYSIS 226 North Kuakini Street, 2nd Floor Honolulu, Hawaii 96817 Ph: (808) 545-3933 Fax: (808) 545-2971 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122501	OAHU
28	U.S. RENAL CARE KAPAHULU DIALYSIS 750 Palani Avenue Honolulu, Hawaii 96816 Ph: (808) 732-7702 Fax: (808) 732-7782 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122521	OAHU
29	U.S. RENAL CARE KAPOLEI DIALYSIS 555 Farrington Highway Kapolei, Hawaii 96707 Ph: (808) 693-8980 Fax: (808) 693-8968 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122508	OAHU
30	U.S. RENAL CARE KO’OLAU DIALYSIS 47-388 Hui Iwa Street Kaneohe, Hawaii 96744 Ph: (808) 239-3400 Fax: (808) 239-3401 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122523	OAHU
31	U.S. RENAL CARE PEARLRIDGE DIALYSIS 98-1005 Moanalua Road, Suite 420 Aiea, Hawaii 96701 Ph: (808) 440-4800 Fax: (808) 440-4827 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122509	OAHU
32	U.S. RENAL CARE WAIANAE DIALYSIS 86-120 Farrington Highway, Suite 211 Waianae, Hawaii 96792 Ph: (808) 664-8350 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122537	OAHU
33	U.S. RENAL CARE WAHIAWA DIALYSIS 850 Kilani Avenue Wahiawa, Hawaii 96786 Ph: (808) 621-5151 Fax: (808) 621-3884 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122500	OAHU
34	U.S. RENAL CARE WAIPAHU DIALYSIS 94-862 Kahuailani Street Waipahu, Hawaii 96797 Ph: (808) 678-6757 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122525	OAHU
35	U.S. RENAL CARE WAIPIO DIALYSIS 94-1042 Ka Uka Boulevard, Suite 100 Waipahu, Hawaii 96797 Ph: (808) 664-8360 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122534	OAHU
36	U.S. RENAL CARE WEST OAHU DIALYSIS 889 Kamokila Boulevard Kapolei, Hawaii 96707 Ph: (808) 674-9604 Fax: (808) 678-2878 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122529	OAHU
37	U.S. RENAL CARE WINDWARD DIALYSIS 45-480 Kaneohe Bay Drive Kaneohe, Hawaii 96744 Ph: (808) 235-0885 Fax: (808) 235-1955 Correspondence Address: DSI Dialysis Area Office 98-1005 Moanalua Rd., Ste. 420 Aiea, Hawaii 96701 CCN: 122502	OAHU

OHCA/MEDICARE 12/29/21; bn