Organization Active NPI

Valley Isle Senior Care

  • Nursing Care Agency
  • Kahului, HI
National Provider Identifier
1710401666
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
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

Updated by the provider on Jun 16, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GE077954048001OtherGE LICENSE

Other names 2

  • Adult residential care home Doing business as
  • LLC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.