NPIMap

Organization Active NPI

North Hawaii Community Hospital, Inc

  • Home Health Agency
  • Kamuela, HI
National Provider Identifier
1750476552
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA 25 Issued in HI
Legal business name
NORTH HAWAII COMMUNITY HOSPITAL, INC
Practice address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone
(808) 885-4400
Fax
(808) 881-4624
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
NORTH HAWAII COMMUNITY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mr. Kenneth D Graham
Title
President
Phone
(808) 885-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA 25 HI Primary

Addresses

Primary practice location

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496

Mailing address

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4400

Other identifiers 1

IdentifierTypeStateIssuer
51703901MedicaidHI

Other names 1

  • North Hawaii Ohana Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000562 HI Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 279 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI; Waipahu, HI; Kamuela, HI

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
North Hawaii Community Hosp

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1750476552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-885-4400",
            "fax_number": "808-881-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-885-4400",
            "fax_number": "808-881-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HAWAII COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH HAWAII COMMUNITY HOSPITAL, INC",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-885-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": "HHA 25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51703901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hawaii Ohana Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.