Kids Individual Development Services Hi LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

KIDS INDIVIDUAL DEVELOPMENT SERVICES HI LLC

Practice address

1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404

Phone

(623) 321-2811

Fax

(541) 275-0228

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Erika Dreher

Title

Controller

Phone

(541) 253-2115

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1104641489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NW CIRCLE BLVD STE 160-112",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301483",
            "telephone_number": "541-253-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2685A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133404",
            "telephone_number": "623-321-2811",
            "fax_number": "541-275-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS INDIVIDUAL DEVELOPMENT SERVICES HI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "DREHER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "541-253-2115"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Chiemi Kida, MD
• Derrick Tamotsu Kida, M.D.
• Daniel Curtis Hiromi Kidani, M.D.
• Patricia F Kido
• Kids First Therapy, LLC
• Kids Thrive Pediatrics, LLC
• Kidshine Honolulu LLC
• Eric S Kiechle, MD
• Elizabeth Kiefer, M.D.
• Eva Kiezik, D.M.D.

• Developmentally Disabled Services Day Training Agency in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Developmentally Disabled Services Day Training Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.