Organization Active NPI

Primecarecorp

  • Developmentally Disabled Services Day Training Agency
  • Kea'au, HI
National Provider Identifier
1780457879
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIMECARECORP
Practice address
16-128 Orchid Land Drive
Keaau, HI 96749
Phone
(808) 520-0034
Fax
(808) 933-9304
NPI assigned
Nov 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Yolanda Chavez Macadangdang
Title
Controller
Phone
(808) 520-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

16-128 Orchid Land Drive
Keaau, HI 96749

Mailing address

PO Box 7129
Hilo, HI 96720-8939
Phone (808) 520-0034

Other names 1

  • PRIMECARE PRO Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780457879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7129",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208939",
            "telephone_number": "808-520-0034",
            "fax_number": "808-933-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-128 ORCHID LAND DRIVE",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-520-0034",
            "fax_number": "808-933-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARECORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2025-09-11",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MACADANGDANG",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "CHAVEZ",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "808-520-0034",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE PRO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kea'au, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.