Organization Active NPI

Kaukila Pono

  • In Home Supportive Care Agency
  • Kapaa, HI
National Provider Identifier
1275949703
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
35316 Issued in HI
Legal business name
KAUKILA PONO
Practice address
5806 Lokelani Rd
Kapaa, HI 96746-9758
Phone
(808) 635-4570
NPI assigned
Jul 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Authorized official

Name
Ms. Patricia Coon, RN BSHANPI 1346806932
Title
Director
Phone
(808) 635-4570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X 35316 HI
In Home Supportive Care Agency 253Z00000X 35316 HI Primary

Addresses

Primary practice location

5806 Lokelani Rd
Kapaa, HI 96746-9758

Mailing address

3-2600 Kaumualii Hwy
Suite 1300 PMB 477
Lihue, HI 96766-2040
Phone (808) 635-4570

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404432000000",
    "number": "1275949703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-2600 KAUMUALII HWY",
            "address_2": "SUITE 1300 PMB 477",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662040",
            "telephone_number": "808-635-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 LOKELANI RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967469758",
            "telephone_number": "808-635-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUKILA PONO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-04",
        "last_updated": "2014-07-04",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-635-4570",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "HI",
            "license": "35316",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "HI",
            "license": "35316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.