NPIMap

Organization Active NPI

Kaiser Group of Medical Clinics and Residential Facilities, Inc.

  • Home Health Agency
  • Saipan, MP
National Provider Identifier
1356658652
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
17362-0002-1 Issued in MP
Legal business name
KAISER GROUP OF MEDICAL CLINICS AND RESIDENTIAL FACILITIES, INC.
Practice address
Nauru Loop St. Marians Business Plaza
4TH Floor Room 402
Saipan, MP 96950-2213
Phone
(670) 234-8005
Fax
(670) 234-8028
NPI assigned
Sep 8, 2010
Organization subpart
Yes
Parent organization
KAISER GROUP OF MEDICAL CLINICS AND RESIDENTIAL FACILITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Dr. Johnny Y Fong, MD
Title
President
Phone
(670) 234-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 17362-0002-1 MP Primary

Addresses

Primary practice location

Nauru Loop St. Marians Business Plaza
4TH Floor Room 402
Saipan, MP 96950-2213

Mailing address

P.O. Box 502213
Marianas Business Plaza BLDG, Room 402, Nauru Loop St
Saipan, MP 96950-2213
Phone (670) 234-8005

Other names 1

  • KAISER HOME HEALTH AGENCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Group of Medical Clinics Residential Facilities Inc2 organizations share this tax ID, including this one
Part of
Kaiser Group of Medical Clinics Residential Facilities Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1356658652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 502213",
            "address_2": "MARIANAS BUSINESS PLAZA BLDG, ROOM 402, NAURU LOOP ST",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502213",
            "telephone_number": "670-234-8005",
            "fax_number": "670-234-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAURU LOOP ST. MARIANS BUSINESS PLAZA",
            "address_2": "4TH FLOOR ROOM 402",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969502213",
            "telephone_number": "670-234-8005",
            "fax_number": "670-234-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER GROUP OF MEDICAL CLINICS AND RESIDENTIAL FACILITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER GROUP OF MEDICAL CLINICS AND RESIDENTIAL FACILITIES, INC.",
        "enumeration_date": "2010-09-08",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "670-234-8005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MP",
            "license": "17362-0002-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAISER HOME HEALTH AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.