NPIMap

Organization Active NPI

Integrated Health Hawaii, LLC

  • Case Management Agency
  • Honolulu, HI
National Provider Identifier
1124669031
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTEGRATED HEALTH HAWAII, LLC
Practice address
1357 Kapiolani Blvd Ste 1410
Honolulu, HI 96814-4535
Phone
(808) 657-6473
Fax
(808) 930-9874
NPI assigned
Oct 1, 2019
Organization subpart
Yes
Parent organization
PMAG CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Gregg A. Shimomura, MDNPI 1538280367
Title
Medical Director
Phone
(808) 942-1852

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1357 Kapiolani Blvd Ste 1410
Honolulu, HI 96814-4535

Mailing address

1357 Kapiolani Blvd Ste 1410
Honolulu, HI 96814-4535

Other names 1

  • Integrated Health Hawaii Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Elation Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1357 Kapiolani Blvd
Ste 1460
Honolulu, HI 96814
Phone (808) 476-8011

1357 Kapiolani Blvd
Ste 1410
Honolulu, HI 96814
Phone (808) 220-6236

Practitioners & affiliated clinicians

Practitioners 9

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": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1124669031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 1410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 KAPIOLANI BLVD STE 1410",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144535",
            "telephone_number": "808-657-6473",
            "fax_number": "808-930-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH HAWAII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMAG CARE, INC.",
        "enumeration_date": "2019-10-01",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "SHIMOMURA",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-942-1852",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elation",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient medical records, Progress notes, etc.",
            "address_1": "1357 Kapiolani Blvd Ste 1410",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrated Health Hawaii",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrated Health Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.