Organization Active NPI

Susannah Wesley Community Center

  • Voluntary or Charitable Agency
  • Honolulu, HI
National Provider Identifier
1780750372
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SUSANNAH WESLEY COMMUNITY CENTER
Practice address
1117 Kaili St
Honolulu, HI 96819-3432
Phone
(808) 847-1535
Fax
(808) 847-0787
NPI assigned
Nov 27, 2006
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
Mr. Ronald M. Higashi, MSW
Title
Executive Director
Phone
(808) 847-1535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1117 Kaili St
Honolulu, HI 96819-3432

Mailing address

1117 Kaili St
Honolulu, HI 96819-3432
Phone (808) 847-1535

Other identifiers 2

IdentifierTypeStateIssuer
0000500207OtherHIHMSA PROVIDER ID
246839MedicaidHI

National Provider Directory

National Provider Directory

Locations

1117 Kaili St
Honolulu, HI 96819
Phone (808) 847-1535

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780750372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 KAILI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193432",
            "telephone_number": "808-847-1535",
            "fax_number": "808-847-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 KAILI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193432",
            "telephone_number": "808-847-1535",
            "fax_number": "808-847-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANNAH WESLEY COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HIGASHI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-847-1535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER ID",
            "identifier": "0000500207",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246839",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, 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.