Organization Active NPI

Kama'Aina Home and Community Based Services, LLC

  • Developmental Disabilities Clinic/Center
  • Waipahu, HI
National Provider Identifier
1114517331
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KAMA'AINA HOME AND COMMUNITY BASED SERVICES, LLC
Practice address
94-307 Farrington Hwy., Suite a-09
Waipahu, HI 96797-2500
Phone
(808) 294-3189
Fax
(808) 888-6058
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mr. Richard Tsugio Hioki Jr.NPI 1043806904
Title
Owner/Administrator
Phone
(808) 294-3189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

94-307 Farrington Hwy., Suite a-09
Waipahu, HI 96797-2500

Mailing address

94-307 Farrington Hwy., Suite a-09
Waipahu, HI 96797-2500
Phone (808) 294-3189

Other identifiers 1

IdentifierTypeStateIssuer
000218MedicaidHI

National Provider Directory

National Provider Directory

Locations

94-307 Farrington Hwy
Ste A09
Waipahu, HI 96797
Phone (808) 294-3189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1114517331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-307 FARRINGTON HWY., SUITE A-09",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972500",
            "telephone_number": "808-294-3189",
            "fax_number": "808-888-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-307 FARRINGTON HWY., SUITE A-09",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972500",
            "telephone_number": "808-294-3189",
            "fax_number": "808-888-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMA'AINA HOME AND COMMUNITY BASED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "HIOKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TSUGIO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "808-294-3189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000218",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.