Regenerative Living Private Duty Inc

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

REGENERATIVE LIVING PRIVATE DUTY INC

Practice address

1314 South King Street Ste 853
Honolulu, HI 96814

Phone

(808) 223-1989

Fax

(866) 306-3167

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gary Kazuo Hironaka Jr.

Title

Director

Phone

(808) 223-1989

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1528524014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 ALA PUUMALU STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96818",
            "telephone_number": "808-223-1989",
            "fax_number": "866-306-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SOUTH KING STREET STE 853",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-223-1989",
            "fax_number": "866-306-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE LIVING PRIVATE DUTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "HIRONAKA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KAZUO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-223-1989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse's Aide in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nurse's Aide in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.