NPIMap

Organization Active NPI

Fidelity Prime Inc

  • Nursing Care Agency
  • Waipahu, HI
National Provider Identifier
1699543272
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
FIDELITY PRIME INC
Practice address
94-210 Pupukahi St Ste 202
Waipahu, HI 96797-2649
Phone
(808) 520-0034
NPI assigned
Dec 13, 2023
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Yolanda Macadangdang
Title
Corporate Treasurer
Phone
(808) 785-2462

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Nursing Care Agency 251J00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

94-210 Pupukahi St Ste 202
Waipahu, HI 96797-2649

Mailing address

PO Box 7129
Hilo, HI 96720-8939

Other practice location 1

16-128 Orchidland Drive
Keaau, HI 96749
Phone (808) 520-0034

National Provider Directory

National Provider Directory
Tax ID family
Fidelity Prime Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1699543272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7129",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-210 PUPUKAHI ST STE 202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972649",
            "telephone_number": "808-520-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-128 Orchidland Drive",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "96749",
            "country_code": "US",
            "telephone_number": "808-520-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIDELITY PRIME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MACADANGDANG",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CORPORATE TREASURER",
        "authorized_official_telephone_number": "808-785-2462"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.