NPIMap

Organization Active NPI

Diversified Island Investment, LTD

  • Nursing Care Agency
  • Hilo, HI
National Provider Identifier
1366038648
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
DIVERSIFIED ISLAND INVESTMENT, LTD
Practice address
311 Kinoole St
Hilo, HI 96720-2918
Phone
(808) 934-7733
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Marichu A Paz
Title
Administrator
Phone
(808) 934-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

311 Kinoole St
Hilo, HI 96720-2918

Mailing address

PO Box 6625
Hilo, HI 96720-8931
Phone (808) 934-7733

Other practice location 1

94-210 Pupukahi St Ste 201A
Waipahu, HI 96797-2649
Phone (808) 676-5751

Other names 1

  • MAXICARE-LINK Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversified Island Investment LTD6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

311 Kinoole St
Hilo, HI 96720
Phone (808) 934-7733

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1366038648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6625",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208931",
            "telephone_number": "808-934-7733",
            "fax_number": "808-934-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202918",
            "telephone_number": "808-934-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-210 Pupukahi St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967972649",
            "country_code": "US",
            "telephone_number": "808-676-5751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSIFIED ISLAND INVESTMENT, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "MARICHU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-934-7733"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAXICARE-LINK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAXICARE-LINK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.