Organization Active NPI

Princess Joy Domngo

  • Skilled Nursing Facility
  • Kailua Kona, HI
National Provider Identifier
1255646543
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
504764OtherHIPROVIDER ID

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.