Korean Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

OHCA#105-C Issued in HI

Legal business name

KOREAN CARE HOME

Practice address

525 Kiapu Place
Korean Care Home
Honolulu, HI 96817

Phone

(808) 533-3157

NPI assigned

Jul 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Samsil Cannon

Title

Administrator

Phone

(808) 533-3157

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1023373974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 KIAPU PLACE",
            "address_2": "KOREAN CARE HOME",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-533-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 KIAPU PLACE",
            "address_2": "KOREAN CARE HOME",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-533-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOREAN CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "SAMSIL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-533-3157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": "OHCA#105-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Kopetseg, APRN
• Donald M Kopf, PH.D.
• Kristi Koplin, FNP-C
• Carolyn Lei-Tina Kor, MD
• Priya Korathu-Larson, B.S.
• Gilbert Masayaki Korenaga Jr.
• Travis-Riley K. Korenaga, MD
• Yuri Korobchuk
• Jeremy Kort, D.O
• Malina E M Korth, CRNA

• Adult Care Home Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Care Home Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.