Active NPI
Princess Joy Domngo
- Skilled Nursing Facility
- Kailua Kona, HI
National Provider Identifier
1255646543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRINCESS JOY DOMNGO
- Practice address
- 73-1340 Kaiminani Dr
Kailua Kona, HI 96740-8521 - Phone
- (808) 325-3237
- Fax
- (808) 325-3237
- NPI assigned
- Aug 11, 2010
- Last updated
- Aug 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Princess Joy F Domingo
- Title
- Cna
- Phone
- (808) 325-3237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
73-1340 Kaiminani Dr
Kailua Kona, HI 96740-8521
Mailing address
73-1340 Kaiminani Dr
Kailua Kona, HI 96740-8521
Phone (808) 325-3237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504764 | Other | HI | PROVIDER ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281484800000",
"number": "1255646543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-1340 KAIMINANI DR",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408521",
"telephone_number": "808-325-3237",
"fax_number": "808-325-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73-1340 KAIMINANI DR",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967408521",
"telephone_number": "808-325-3237",
"fax_number": "808-325-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCESS JOY DOMNGO",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A",
"authorized_official_last_name": "DOMINGO",
"authorized_official_first_name": "PRINCESS JOY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CNA",
"authorized_official_telephone_number": "808-325-3237",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "504764",
"state": "HI"
}
],
"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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.