Organization Active NPI

Heritage Health Services of Hawaii LLC

  • In Home Supportive Care Agency
  • Honolulu, HI
National Provider Identifier
1184364184
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HERITAGE HEALTH SERVICES OF HAWAII LLC
Practice address
1003 Bishop St Ste 2700
Honolulu, HI 96813-6475
Phone
(808) 202-7888
NPI assigned
Mar 30, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Andrew Clark SobrepenaNPI 1306677166
Title
LLC Member
Phone
(808) 202-7888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

1003 Bishop St Ste 2700
Honolulu, HI 96813-6475

Mailing address

1003 Bishop St Ste 2700
Honolulu, HI 96813-6475

National Provider Directory

National Provider Directory

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": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1184364184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 2700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 2700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136475",
            "telephone_number": "808-202-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH SERVICES OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SOBREPENA",
        "authorized_official_first_name": "ANDREW CLARK",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "808-202-7888"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 30, 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.