Organization Active NPI

Hawaii Wound, Ostomy and Continence Services, LLC

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1447670252
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HAWAII WOUND, OSTOMY AND CONTINENCE SERVICES, LLC
Practice address
80 Sand Island Access Rd Ste 238
Honolulu, HI 96819-4912
Phone
(808) 392-5459
Fax
(808) 791-6990
NPI assigned
Apr 18, 2014
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Dr. Anne Kinuyo Jinbo, PHD, APRNNPI 1689862856
Title
President
Phone
(808) 392-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

80 Sand Island Access Rd Ste 238
Honolulu, HI 96819-4912

Mailing address

420 Kuwili St
Suite 103
Honolulu, HI 96817-5050
Phone (808) 392-9238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104001944 HI Part B Supplier - Clinic/Group Practice 7911209234 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

420 Kuwili St
Ste 103
Honolulu, HI 96817
Phone (808) 392-5459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1447670252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KUWILI ST",
            "address_2": "SUITE 103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175050",
            "telephone_number": "808-392-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SAND ISLAND ACCESS RD STE 238",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194912",
            "telephone_number": "808-392-5459",
            "fax_number": "808-791-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII WOUND, OSTOMY AND CONTINENCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "JINBO",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "KINUYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-392-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.