Active NPI
Valley Isle Senior Care
- Nursing Care Agency
- Kahului, HI
National Provider Identifier
1710401666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- VALLEY ISLE SENIOR CARE
- Practice address
- 345 S Lehua St
Kahului
Kahului, HI 96732-9673 - Phone
- (808) 227-8450
- Fax
- (808) 227-8450
- NPI assigned
- Aug 2, 2017
- 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
- Mr. Milton T Nasu
- Title
- Operator
- Phone
- (808) 227-8450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | HI | Primary |
Addresses
Primary practice location
345 S Lehua St
Kahului
Kahului, HI 96732-9673
Mailing address
345 S Lehua St
Kahului, HI 96732-2641
Phone (808) 227-8450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GE077954048001 | Other | GE LICENSE |
Other names 2
- Adult residential care home
- LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1710401666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 S LEHUA ST",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322641",
"telephone_number": "808-227-8450",
"fax_number": "808-395-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 S LEHUA ST",
"address_2": "KAHULUI",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967329673",
"telephone_number": "808-227-8450",
"fax_number": "808-227-8450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY ISLE SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-02",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "NASU",
"authorized_official_first_name": "MILTON",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OPERATOR",
"authorized_official_telephone_number": "808-227-8450",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GE LICENSE",
"identifier": "GE077954048001",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Adult residential care home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.