Active NPI
Leahi Hospital
- Nursing Facility/Intermediate Care Facility
- Honolulu, HI
National Provider Identifier
1558532887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 40-N
- Legal business name
- LEAHI HOSPITAL
- Practice address
- 3675 Kilauea Ave
Honolulu, HI 96816-2333 - Phone
- (808) 733-7932
- NPI assigned
- Mar 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda L Okamoto
- Title
- Business Manager
- Phone
- (808) 733-7932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 40-N | HI | Primary |
Addresses
Primary practice location
3675 Kilauea Ave
Honolulu, HI 96816-2333
Mailing address
3675 Kilauea Ave
Honolulu, HI 96816-2333
Phone (808) 733-7932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080930000076 | HI | Part B Supplier - Clinic/Group Practice | 2264421437 |
Receives reassigned benefits from 3 practitioners Practice locations: Honolulu, HI |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1982670154
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1649331760
-
- Specialist
- Honolulu, HI
- NPI 1770651853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1558532887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 KILAUEA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162333",
"telephone_number": "808-733-7932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 KILAUEA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162333",
"telephone_number": "808-733-7932"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAHI HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "OKAMOTO",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "808-733-7932",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "HI",
"license": "40-N",
"primary": true
}
],
"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 Mar 14, 2008; 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.