Kukui NA Kupuna, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KUKUI NA KUPUNA, LLC

Doing business as

Home Instead Senior Care, #797

Practice address

970 N Kalaheo Ave
Suite C-200
Kailua, HI 96734-1866

Phone

(808) 744-0215

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Lawrence Merideth III, MSHCM

Title

Managing Owner

Phone

(808) 546-0097

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care, #797 Doing business as

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1376088773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE C-200",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-744-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE C-200",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-744-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUKUI NA KUPUNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MERIDETH",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "808-546-0097",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSHCM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care, #797",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Herriott Kruse, AGACNP-CNS
• Noah Milton Kuball
• Jillian Kublick
• David A. Kuchenbecker, M.D.
• Michael Kukahiwa-Haruno, MS, RBT-15-07111
• Natalie Kulongowski
• Sarah Kuma
• Nikea May Kumagai-Taylor
• Kanani Kumia
• Ana Kuna, LMT

• In Home Supportive Care Agency in Kailua, HI
• Providers in Kailua, HI by specialty
• In Home Supportive Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.