Active NPI
Gracemarie Rago Yap
- Adult Care Home Facility
- Honolulu, HI
National Provider Identifier
1043447089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- HCBS09-1099
- Practice address
- 1807 Beckley St
Honolulu, HI 96819-3466 - Phone
- (808) 722-5305
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | HCBS09-1099 | HI | Primary |
Addresses
Primary practice location
1807 Beckley St
Honolulu, HI 96819-3466
Mailing address
1807 Beckley St
Honolulu, HI 96819-3466
Phone (808) 722-5305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCBS09-1099 | HI | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1043447089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 BECKLEY ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193466",
"telephone_number": "808-722-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 BECKLEY ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968193466",
"telephone_number": "808-722-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAP",
"first_name": "GRACEMARIE",
"middle_name": "RAGO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "HI",
"license": "HCBS09-1099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.