NPIMap

Organization Active NPI

Kula Hospital

  • Nursing Facility/Intermediate Care Facility
  • Kula, HI
National Provider Identifier
1295813350
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OHCA35-N Issued in HI
Legal business name
KULA HOSPITAL
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 878-1221
Fax
(808) 876-4438
NPI assigned
Nov 2, 2006
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Mrs. Nerissa Gayle Garrity, MBA
Title
Business Manager
Phone
(808) 876-4341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OHCA 35-N HI
Nursing Facility/Intermediate Care Facility 313M00000X OHCA35-N HI Primary

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

100 Keokea PL
Kula, HI 96790-7450
Phone (808) 878-1221

Other identifiers 1

IdentifierTypeStateIssuer
592289MedicaidHI

Other names 1

  • Kula Hospital NF Other name

National Provider Directory

National Provider Directory
Tax ID family
Maui Health System a Kaiser9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1295813350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221",
            "fax_number": "808-876-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221",
            "fax_number": "808-876-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GARRITY",
        "authorized_official_first_name": "NERISSA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "808-876-4341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "OHCA 35-N",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "OHCA35-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592289",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kula Hospital NF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kula, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.