Active NPI
Fidelity Prime Inc
- In Home Supportive Care Agency
- Keaau, HI
National Provider Identifier
1295501237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- FIDELITY PRIME INC
- Practice address
- 16-128 Orchidland Drive
Keaau, HI 96749 - Phone
- (808) 520-0034
- NPI assigned
- Nov 30, 2023
- 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
- Yolanda Macadangdang
- Title
- Corporate Treasurer
- Phone
- (808) 785-2462
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
16-128 Orchidland Drive
Keaau, HI 96749
Mailing address
PO Box 7129
Hilo, HI 96720-8939
Phone (808) 934-4950
Other practice location 1
94-210 Pupukahi St Ste 202
Waipahu, HI 96797-2649
Phone (808) 520-0034
National Provider Directory
National Provider Directory- Tax ID family
- Fidelity Prime Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Waipahu, HI
- NPI 1427826007
-
- Nursing Care Agency
- Keaau, HI
- NPI 1437020708
-
- In Home Supportive Care Agency
- Waipahu, HI
- NPI 1699541953
-
- Nursing Care Agency
- Waipahu, HI
- NPI 1699543272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786320000000",
"number": "1295501237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7129",
"city": "HILO",
"state": "HI",
"postal_code": "967208939",
"telephone_number": "808-934-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-128 ORCHIDLAND DRIVE",
"city": "KEAAU",
"state": "HI",
"postal_code": "96749",
"telephone_number": "808-520-0034"
}
],
"practiceLocations": [
{
"address_1": "94-210 Pupukahi St Ste 202",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967972649",
"country_code": "US",
"telephone_number": "808-520-0034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FIDELITY PRIME INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-30",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A",
"authorized_official_last_name": "MACADANGDANG",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "CORPORATE TREASURER",
"authorized_official_telephone_number": "808-785-2462"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.