Organization Active NPI

Palolo Chinese Home Wellness Program

  • In Home Supportive Care Agency
  • Honolulu, HI
National Provider Identifier
1376156570
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PALOLO CHINESE HOME WELLNESS PROGRAM
Practice address
2459 10TH Ave
Honolulu, HI 96816-3098
Phone
(808) 564-5228
Fax
(808) 564-5294
NPI assigned
Aug 26, 2020
Organization subpart
Yes
Parent organization
PALOLO CHINESE HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Darlene Nakayama
Title
Ceo
Phone
(808) 748-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2459 10TH Ave
Honolulu, HI 96816-3098

Mailing address

2459 10TH Ave
Honolulu, HI 96816-3098
Phone (808) 564-5228

Other names 1

  • Palolo Chinese Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Palolo Chinese Home Wellness Program3 organizations share this tax ID, including this one
Part of
Palolo Chinese Home Wellness Program

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1376156570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163098",
            "telephone_number": "808-564-5228",
            "fax_number": "808-564-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163098",
            "telephone_number": "808-564-5228",
            "fax_number": "808-564-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOLO CHINESE HOME WELLNESS PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALOLO CHINESE HOME",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "NAKAYAMA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-748-4901"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palolo Chinese Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.