Paradise Home Care Cooperative

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PARADISE HOME CARE COOPERATIVE

Practice address

11-2860 Alii Kane St
Volcano, HI 96785

Phone

(808) 985-9874

Fax

(808) 985-9874

NPI assigned

Dec 3, 2008

Last updated

Aug 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ochana D Bringman-Conway, B.S.

Title

Executive Manager

Phone

(808) 985-9874

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1033354113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2121",
            "city": "VOLCANO",
            "state": "HI",
            "postal_code": "967852121",
            "telephone_number": "808-985-9874",
            "fax_number": "808-985-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-2860 ALII KANE ST",
            "city": "VOLCANO",
            "state": "HI",
            "postal_code": "96785",
            "telephone_number": "808-985-9874",
            "fax_number": "808-985-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE HOME CARE COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "BRINGMAN-CONWAY",
        "authorized_official_first_name": "OCHANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "808-985-9874",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631277-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Volcano, HI
• Providers in Volcano, HI by specialty
• In Home Supportive Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.