NPIMap

Organization Active NPI

Maloha Group, Corp.

  • In Home Supportive Care Agency
  • Waipahu, HI
National Provider Identifier
1770115917
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MALOHA GROUP, CORP.
Doing business as
Island Pacific Care
Practice address
94-210 Pupukahi St Ste 204
Waipahu, HI 96797-2649
Phone
(808) 762-7507
Fax
(808) 762-7508
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Angelica Jao Consulta
Title
President
Phone
(808) 762-7507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

94-210 Pupukahi St Ste 204
Waipahu, HI 96797-2649

Mailing address

PO Box 894824
Mililani, HI 96789-8331
Phone (808) 762-7507

Other identifiers 1

IdentifierTypeStateIssuer
1770115917MedicaidHI

Other names 1

  • Island Pacific Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Pacific Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1770115917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894824",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967898331",
            "telephone_number": "808-762-7507",
            "fax_number": "808-762-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-210 PUPUKAHI ST STE 204",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972649",
            "telephone_number": "808-762-7507",
            "fax_number": "808-762-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOHA GROUP, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "CONSULTA",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "JAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-762-7507"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770115917",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Pacific Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Island Pacific Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.