NPIMap

Organization Active NPI

Diversified Island Investment, LTD

Doing business as Maxicare-Link

  • In Home Supportive Care Agency
  • Hilo, HI
National Provider Identifier
1033506803
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DIVERSIFIED ISLAND INVESTMENT, LTD
Doing business as
Maxicare-Link
Practice address
311 Kinoole St
Hilo, HI 96720-2918
Phone
(808) 934-7733
Fax
(808) 934-7744
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Marichu A Paz
Title
Business Agent
Phone
(808) 934-7733

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

311 Kinoole St
Hilo, HI 96720-2918

Mailing address

PO Box 6625
Hilo, HI 96720-8931
Phone (808) 934-7733

Other practice location 1

94-210 Pupukahi St
Waipahu, HI 96797-2649
Phone (808) 676-5751

Other names 1

  • Maxicare-Link Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL maxicare.hi@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Diversified Island Investment LTD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

94-210 Pupukahi St
Waipahu, HI 96797
Phone (808) 676-5751

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1033506803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6625",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208931",
            "telephone_number": "808-934-7733",
            "fax_number": "808-934-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202918",
            "telephone_number": "808-934-7733",
            "fax_number": "808-934-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-210 Pupukahi St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967972649",
            "country_code": "US",
            "telephone_number": "808-676-5751",
            "fax_number": "808-677-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED ISLAND INVESTMENT, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "MARICHU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS AGENT",
        "authorized_official_telephone_number": "808-934-7733"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maxicare.hi@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 KINOOLE STREET",
            "city": "HILO",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maxicare-Link",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maxicare-Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 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.