Active NPI
PC Care Corp
- Nursing Facility/Intermediate Care Facility
- Pearl City, HI
National Provider Identifier
1124063003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 49-N
- Legal business name
- PC CARE CORP
- Practice address
- 919 Lehua Ave
Pearl City, HI 96782-3328 - Phone
- (808) 453-1919
- Fax
- (808) 453-1929
- NPI assigned
- Jun 17, 2006
- Organization subpart
- Yes
- Parent organization
- ITO FAMILY HOLDINGS CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia L. C. Yoshida
- Title
- Chief Financial Officer
- Phone
- (808) 453-1919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 49-N | HI | Primary |
Addresses
Primary practice location
919 Lehua Ave
Pearl City, HI 96782-3328
Mailing address
919 Lehua Ave
Pearl City, HI 96782-3328
Phone (808) 453-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076801-01 | Medicaid | HI | |
| 20453-7 | Other | HI | HMSA/HMSA 65C PROVIDER # |
Other names 1
- Pearl City Nursing Home
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0914311 | Pearl City Nursing Home | Certificate of waiver | Apr 24, 2028 |
National Provider Directory
National Provider Directory- Part of
- Ito Family Holdings Corp
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Nursing Facility/Intermediate Care Facility
- Pearl City, HI
- NPI 1710590203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124063003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 LEHUA AVE",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823328",
"telephone_number": "808-453-1919",
"fax_number": "808-453-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 LEHUA AVE",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823328",
"telephone_number": "808-453-1919",
"fax_number": "808-453-1929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PC CARE CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ITO FAMILY HOLDINGS CORP",
"enumeration_date": "2006-06-17",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "YOSHIDA",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "L. C.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "808-453-1919",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "HI",
"license": "49-N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076801-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA/HMSA 65C PROVIDER #",
"identifier": "20453-7",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearl City Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.