Active NPI
Kona Adult Day Center, Inc.
- Respite Care
- Kealakekua, HI
National Provider Identifier
1730330614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 385H00000X
- Legal business name
- KONA ADULT DAY CENTER, INC.
- Practice address
- 81989 Halekii Street
Kealakekua, HI 96750 - Phone
- (808) 322-7977
- Fax
- (808) 322-0614
- NPI assigned
- Oct 9, 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
- Ms. Rowena L. Tiqui
- Title
- Executive Director
- Phone
- (808) 322-7977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 385H00000X | HI | Primary |
Addresses
Primary practice location
81989 Halekii Street
Kealakekua, HI 96750
Mailing address
PO Box 1360
Kealakekua, HI 96750-1360
Phone (808) 322-7922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 518300 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
81-989 Halekii St
Kealakekua, HI 96750
Phone (808) 322-7977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1730330614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1360",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967501360",
"telephone_number": "808-322-7922",
"fax_number": "808-322-0614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81989 HALEKII STREET",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "96750",
"telephone_number": "808-322-7977",
"fax_number": "808-322-0614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KONA ADULT DAY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "TIQUI",
"authorized_official_first_name": "ROWENA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "808-322-7977",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "HI",
"license": "385H00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518300",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.