Organization Active NPI

Kauai Home Care LLC

  • Home Health Agency
  • Kapa'a, HI
National Provider Identifier
1194479105
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KAUAI HOME CARE LLC
Practice address
4-831 Kuhio Hwy Ste 372-a
Kapaa, HI 96746-1578
Phone
(808) 651-1899
NPI assigned
Feb 8, 2022
Last updated
Feb 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Mr. Judiah McRoberts
Title
President
Phone
(808) 651-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4-831 Kuhio Hwy Ste 372-a
Kapaa, HI 96746-1578

Mailing address

PO Box 1142
Kilauea, HI 96754-1142
Phone (808) 651-1899

National Provider Directory

National Provider Directory
Tax ID family
Kauai Home Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1194479105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967541142",
            "telephone_number": "808-651-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-831 KUHIO HWY STE 372-A",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461578",
            "telephone_number": "808-651-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "MCROBERTS",
        "authorized_official_first_name": "JUDIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-651-1899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

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