Hilo Medical Center Home Health Epsdt

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OHCA# HHA-2 Issued in HI

Legal business name

HILO MEDICAL CENTER HOME HEALTH EPSDT

Practice address

1190 Waianuenue Ave
Hilo, HI 96720-2020

Phone

(808) 974-7720

Fax

(808) 974-4718

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HILO MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Ronald Schurra

Title

Ceo

Phone

(808) 974-4729

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hilo Benioff Medical Center3 organizations share this tax ID, including this one

Part of

Hilo Benioff Medical Center

Other organizations with this tax ID 2

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

• Hilo Benioff Medical Center

  • Anesthesiology Physician
  • Hilo, HI
  • NPI 1235981614
  NPD tax ID
• Hilo Medical Center

  • General Acute Care Hospital
  • Hilo, HI
  • NPI 1679823868
  NPD tax ID

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1801044094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-7720",
            "fax_number": "808-974-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-7720",
            "fax_number": "808-974-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO MEDICAL CENTER HOME HEALTH EPSDT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILO MEDICAL CENTER",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SCHURRA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-974-4729"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": "OHCA# HHA-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53345701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilo Massage Clinic and Day Spa LLC (Spa Vive)
• Hilo Massage Clinic and Day Spa, LLC (Hilo Massage Clinic)
• Hilo Medical Center
• Hilo Medical Center
• Hilo Medical Center Anesthesia
• Hilo Medical Investors LTD (Life Care Center of Hilo)
• Hilo Natural Health Clinic, LLC
• Hilo Obstetrics and Gynecology, LLC
• Hilo Osteopathic Family Medicine, LLC
• Hilo SNF LLC

• Home Health Agency in Hilo, HI
• Providers in Hilo, HI by specialty
• Home Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.