Organization Active NPI

Safe Harbor Homecare Inc

  • In Home Supportive Care Agency
  • Pearl City, HI
National Provider Identifier
1063022606
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFE HARBOR HOMECARE INC
Practice address
450 Kamehameha Hwy Ste 3
Pearl City, HI 96782-3215
Phone
(808) 488-8826
Fax
(808) 488-8827
NPI assigned
Aug 7, 2020
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Angel Ramos, MPH, NHA
Title
President/Administrator
Phone
(808) 488-8826

Specialties & licenses 1

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

Addresses

Primary practice location

450 Kamehameha Hwy Ste 3
Pearl City, HI 96782-3215

Mailing address

450 Kamehameha Hwy Ste 3
Pearl City, HI 96782-3215
Phone (808) 488-8826

Other identifiers 1

IdentifierTypeStateIssuer
80-HCAOtherHISTATE OF HAWAII

National Provider Directory

National Provider Directory

Locations

450 Kamehameha Hwy
Ste 3
Pearl City, HI 96782
Phone (808) 488-8826

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1063022606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 KAMEHAMEHA HWY STE 3",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823215",
            "telephone_number": "808-488-8826",
            "fax_number": "808-488-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 KAMEHAMEHA HWY STE 3",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823215",
            "telephone_number": "808-488-8826",
            "fax_number": "808-488-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "808-488-8826",
        "authorized_official_credential": "MPH, NHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII",
            "identifier": "80-HCA",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

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

Verify at the official NPI Registry.