Active NPI
Kupuna Alternative Care, LLC
- Case Management Agency
- Hilo, HI
National Provider Identifier
1023100229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 30137544
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 566961 | Other | HI | MEDICAID PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.