NPIMap

Organization Active NPI

Kauai Community Health Alliance

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kilauea, HI
National Provider Identifier
1417413576
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
KAUAI COMMUNITY HEALTH ALLIANCE
Practice address
2430 Oka St Ste B
Kilauea, HI 96754-5332
Phone
(808) 828-0030
Fax
(808) 977-7769
NPI assigned
Feb 13, 2019
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Authorized official

Name
La Reina Nebre
Title
Practice Manager
Phone
(808) 828-2885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

2430 Oka St Ste B
Kilauea, HI 96754-5332

Mailing address

2460 Oka St Ste 101a
Kilauea, HI 96754-5308
Phone (808) 977-7767

Other names 1

  • North Shore Wellness Center Doing business as

National Provider Directory

National Provider Directory
Part of
Kauai Community Health

Locations

2430 Oka St
#B
Kilauea, HI 96754
Phone (808) 828-0030

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18530/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1417413576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 OKA ST STE 101A",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545308",
            "telephone_number": "808-977-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 OKA ST STE B",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545332",
            "telephone_number": "808-828-0030",
            "fax_number": "808-977-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI COMMUNITY HEALTH ALLIANCE",
        "organizational_subpart": "YES",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "NEBRE",
        "authorized_official_first_name": "LA REINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "808-828-2885"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kilauea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.