Organization Active NPI

Kupuna Alternative Care, LLC

  • Case Management Agency
  • Hilo, HI
National Provider Identifier
1023100229
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
30137544 Issued in HI
Legal business name
KUPUNA ALTERNATIVE CARE, LLC
Practice address
350 Lehua St
Hilo, HI 96720-2351
Phone
(808) 933-9229
Fax
(808) 933-1444
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lea D Nordloh, R.N., M.S.N.
Title
RN Case Manager, Administrator
Phone
(808) 933-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 30137544 HI Primary

Addresses

Primary practice location

350 Lehua St
Hilo, HI 96720-2351

Mailing address

HC 2 Box 6924
Keaau, HI 96749-9336
Phone (808) 933-9229

Other identifiers 1

IdentifierTypeStateIssuer
566961OtherHIMEDICAID PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023100229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 6924",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967499336",
            "telephone_number": "808-933-9229",
            "fax_number": "808-933-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LEHUA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202351",
            "telephone_number": "808-933-9229",
            "fax_number": "808-933-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUPUNA ALTERNATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NORDLOH",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RN CASE MANAGER, ADMINISTRATOR",
        "authorized_official_telephone_number": "808-933-9229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., M.S.N."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "HI",
            "license": "30137544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "566961",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.