Individual provider Active NPI

Monalice A Sildora

  • Nursing Home Administrator
  • Kapolei, HI
National Provider Identifier
1104553908
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Practice address
91-1052 Kanio St
Kapolei, HI 96707-3221
Phone
(808) 368-2124
Fax
(808) 200-4828
NPI assigned
Aug 2, 2022
Reactivated
Aug 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis Technician 2472R0900X
Nursing Home Administrator 376G00000X Primary

Addresses

Primary practice location

91-1052 Kanio St
Kapolei, HI 96707-3221

Mailing address

91-1052 Kanio St
Kapolei, HI 96707
Phone (808) 368-2124

Other identifiers 1

IdentifierTypeStateIssuer
883496408OtherIRS

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

Practice roles

OrganizationSpecialtyStatusNew patients
A&M Care Services, LLC CurrentSince Aug 7, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1104553908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1052 KANIO ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-368-2124",
            "fax_number": "808-200-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1052 KANIO ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967073221",
            "telephone_number": "808-368-2124",
            "fax_number": "808-200-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILDORA",
        "first_name": "MONALICE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "deactivation_date": "2022-08-02",
        "reactivation_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "883496408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.