Organization Active NPI

Kona Adult Day Center, Inc.

  • Respite Care
  • Kealakekua, HI
National Provider Identifier
1730330614
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
385H00000X Issued in HI
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

Updated by the provider on Oct 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
518300MedicaidHI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.