Organization Active NPI

Regency at Puakea, L.L.C.

Doing business as Regency at Puakea

  • Assisted Living Facility
  • Lihue, HI
National Provider Identifier
1437605490
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
OHCA#9-ALF Issued in HI
Legal business name
REGENCY AT PUAKEA, L.L.C.
Doing business as
Regency at Puakea
Practice address
2130 Kaneka St
Lihue, HI 96766-8005
Phone
(808) 246-4449
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
M. Bart Beddoe
Title
Managing Member
Phone
(425) 392-4066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OHCA#9-ALF HI Primary

Addresses

Primary practice location

2130 Kaneka St
Lihue, HI 96766-8005

Mailing address

3326 160TH Ave SE
120
Bellevue, WA 98008-6418
Phone (425) 392-4066

Other names 1

  • Regency at Puakea Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2201839Regency at Puakea, the2130 Kaneka St, Lihue, HI 96766Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1437605490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3326 160TH AVE SE",
            "address_2": "120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980086418",
            "telephone_number": "425-392-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 KANEKA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668005",
            "telephone_number": "808-246-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY AT PUAKEA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BEDDOE",
        "authorized_official_first_name": "M. BART",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "425-392-4066"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "HI",
            "license": "OHCA#9-ALF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency at Puakea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.