NPIMap

Organization Active NPI

Life Care Center of Kona

  • Physical Therapy Clinic/Center
  • Kailua Kona, HI
National Provider Identifier
1194156604
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIFE CARE CENTER OF KONA
Practice address
78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Phone
(808) 322-2790
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Pomaikai Anduha, PTA
Title
Physical Therapist Assistant
Phone
(808) 322-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528

Mailing address

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528

National Provider Directory

National Provider Directory
Tax ID family
Kona Medical Investors LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1194156604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6957 KAMEHAMEHA III RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6957 KAMEHAMEHA III RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402528",
            "telephone_number": "808-322-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE CENTER OF KONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "ANDUHA",
        "authorized_official_first_name": "POMAIKAI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "808-322-2790",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.