Organization Active NPI

Jljag Adult Day Care Center

  • Alzheimer Center (Dementia Center)
  • Kapolei, HI
National Provider Identifier
1972052454
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
JLJAG ADULT DAY CARE CENTER
Practice address
92-1359 Hunekai St
Kapolei, HI 96707-1518
Phone
(808) 397-9084
Fax
(808) 672-3092
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Lily Martin Castillo, RN
Title
Director
Phone
(808) 397-9084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X HI Primary

Addresses

Primary practice location

92-1359 Hunekai St
Kapolei, HI 96707-1518

Mailing address

92-1359 Hunekai St
Kapolei, HI 96707-1518
Phone (808) 397-9084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1972052454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1359 HUNEKAI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071518",
            "telephone_number": "808-397-9084",
            "fax_number": "808-672-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1359 HUNEKAI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071518",
            "telephone_number": "808-397-9084",
            "fax_number": "808-672-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLJAG ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-397-9084",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.