Organization Active NPI

Island Heart Care LLC

  • Medical Specialty Clinic/Center
  • Kailua Kona, HI
National Provider Identifier
1942518022
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD-11161 Issued in HI
Legal business name
ISLAND HEART CARE LLC
Practice address
75-167 Hualalai Rd
Kailua Kona, HI 96740-1714
Phone
(808) 769-5225
Fax
(808) 769-5099
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Mrs. April Melody Johnson, LPN
Title
Manager
Phone
(808) 854-1162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD-11161 HI Primary

Addresses

Primary practice location

75-167 Hualalai Rd
Kailua Kona, HI 96740-1714

Mailing address

75-167 Hualalai Rd
Kailua Kona, HI 96740-1714
Phone (808) 769-5225

Other names 1

  • arrmand wohl Other name

National Provider Directory

National Provider Directory

Locations

75-1027 Henry St
Ste 100
Kailua Kona, HI 96740
Phone (808) 769-5225

75-1027 Henry St
Ste 110
Kailua Kona, HI 96740
Phone (808) 769-5225

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1942518022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-167 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-769-5225",
            "fax_number": "808-769-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401714",
            "telephone_number": "808-769-5225",
            "fax_number": "808-769-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND HEART CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "MELODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-854-1162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "MD-11161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "arrmand wohl",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.