Organization Active NPI

PC Care Corp

  • Nursing Facility/Intermediate Care Facility
  • Pearl City, HI
National Provider Identifier
1124063003
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
49-N Issued in HI
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
076801-01MedicaidHI
20453-7OtherHIHMSA/HMSA 65C PROVIDER #

Other names 1

  • Pearl City Nursing Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0914311Pearl City Nursing Home919 Lehua Ave, Pearl City, HI 96782Certificate of waiverApr 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.

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.

Verify at the official NPI Registry.