Active NPI
Monalice A Sildora
- Nursing Home Administrator
- Kapolei, HI
National Provider Identifier
1104553908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 883496408 | Other | IRS |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&M Care Services, LLC | Current | 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.
-
- Adult Care Home Facility
- Kapolei, HI
- NPI 1265169064
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.