Island Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2-N Issued in HI

Legal business name

ISLAND NURSING HOME, INC.

Practice address

1205 Alexander St
Honolulu, HI 96826-1229

Phone

(808) 946-5027

Fax

(866) 596-0130

NPI assigned

Jun 15, 2005

Last updated

Jun 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Leland M Yagi

Title

President/Administrator

Phone

(808) 946-5027

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1255336376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 ALEXANDER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261229",
            "telephone_number": "808-946-5027",
            "fax_number": "866-596-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 ALEXANDER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261229",
            "telephone_number": "808-946-5027",
            "fax_number": "866-596-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "YAGI",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "808-946-5027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "2-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "12-5005",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0848-2",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008403-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Medical Consultants, LLC
• Island Medical Group, LLC
• Island Medical Group, LLC (IV Ocean Therapy)
• Island Mobility Solutions LLC
• Island Neuro-Rehabilitation Associates
• Island Obstetrics & Gynecology LLP
• Island Orthopaedics, LLC
• Island Pacific Medical Center
• Island Paradise Investments, LP (Kalakaua Gardens)
• Island Physical Therapy, Inc

• Skilled Nursing Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Skilled Nursing Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.