Organization Active NPI

Hiilani Health Corporation

  • Developmentally Disabled Services Day Training Agency
  • Wahiawa, HI
National Provider Identifier
1922336791
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HIILANI HEALTH CORPORATION
Practice address
108 Olokani PL
2ND FL
Wahiawa, HI 96786-4812
Phone
(808) 621-2670
Fax
(808) 621-0639
NPI assigned
Dec 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Mr. Jay Raymundo
Title
Ceo/Secretary
Phone
(808) 800-7326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X HI
Community/Behavioral Health Agency 251S00000X HI

Addresses

Primary practice location

108 Olokani PL
2ND FL
Wahiawa, HI 96786-4812

Mailing address

PO Box 860327
Wahiawa, HI 96786-0327
Phone (808) 800-7326

Other identifiers 1

IdentifierTypeStateIssuer
639007MedicaidHI

Other names 1

  • Life Connections, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Hi'Ilani Health Corporation2 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": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1922336791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860327",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967860327",
            "telephone_number": "808-800-7326",
            "fax_number": "808-621-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OLOKANI PL",
            "address_2": "2ND FL",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967864812",
            "telephone_number": "808-621-2670",
            "fax_number": "808-621-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIILANI HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "RAYMUNDO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO/SECRETARY",
        "authorized_official_telephone_number": "808-800-7326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639007",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Connections, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.