NPIMap

Organization Active NPI

Queen's Development Corporation & Subsidiaries

Doing business as Queen's HealthCare Centers

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1164626479
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES
Doing business as
Queen's HealthCare Centers
Practice address
377 Keahole St
Honolulu, HI 96825-3405
Phone
(808) 396-6675
Fax
(808) 395-2104
NPI assigned
Jun 12, 2007
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mrs. Leila Shar
Title
Cfo
Phone
(808) 535-8737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

377 Keahole St
Honolulu, HI 96825-3405

Mailing address

1099 Alakea St
Suite 1100
Honolulu, HI 96813-4511
Phone (808) 535-8737

Other names 1

  • Queen's HealthCare Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000445 HI Part B Supplier - Clinic/Group Practice 7810912292 Receives reassigned benefits from 26 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Haleiwa, HI; Honolulu, HI; Kapolei, HI; Mililani, HI

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Queens Development Corp17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1164626479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 ALAKEA ST",
            "address_2": "SUITE 1100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134511",
            "telephone_number": "808-535-8737",
            "fax_number": "808-535-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253405",
            "telephone_number": "808-396-6675",
            "fax_number": "808-395-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN'S DEVELOPMENT CORPORATION & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SHAR",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-535-8737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen's HealthCare Centers",
            "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 Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.