Organization Active NPI

Ike Pono Case Management LLC

  • Case Management Agency
  • Wahiawa, HI
National Provider Identifier
1164143012
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
IKE PONO CASE MANAGEMENT LLC
Doing business as
Ike Pono Case Management LLC
Practice address
195 Muliwai Ave
Wahiawa, HI 96786-2013
Phone
(808) 397-4638
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Ms. Kimberly Aulani Fanene
Title
Owner / Director / Case Manager
Phone
(808) 397-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

195 Muliwai Ave
Wahiawa, HI 96786-2013

Mailing address

195 Muliwai Ave
Wahiawa, HI 96786-2013
Phone (808) 397-4638

Other names 1

  • Ike Pono Case Management LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kokua@ikeponocm.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Ike Pono Case Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1164143012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MULIWAI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862013",
            "telephone_number": "808-397-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MULIWAI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862013",
            "telephone_number": "808-397-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKE PONO CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "FANENE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "AULANI",
        "authorized_official_title_or_position": "OWNER / DIRECTOR / CASE MANAGER",
        "authorized_official_telephone_number": "808-397-4638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kokua@ikeponocm.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "195 Muliwai Ave",
            "city": "Wahiawa",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967862013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ike Pono Case Management LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.