Active NPI
Maloha Group, Corp. Dba Island Pacific Care
- Nursing Care Agency
- Waipahu, HI
National Provider Identifier
1992228431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- MALOHA GROUP, CORP. DBA ISLAND PACIFIC CARE
- Doing business as
- ISLAND PACIFIC CARE
- Practice address
- 94-210 Pupukahi St Ste 204
Waipahu, HI 96797-2649 - Phone
- (808) 762-7507
- Fax
- (808) 762-7508
- NPI assigned
- Jul 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Angelica Consulta
- Title
- President
- Phone
- (808) 762-7507
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | GE-072-517-0176-01 | HI | |
| Chore Provider | 372500000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
94-210 Pupukahi St Ste 204
Waipahu, HI 96797-2649
Mailing address
PO Box 894824
Mililani, HI 96789-8331
Phone (808) 762-7507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992228431 | Medicaid | HI |
Other names 1
- ISLAND PACIFIC CARE
National Provider Directory
National Provider Directory- Tax ID family
- Island Pacific Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Waipahu, HI
- NPI 1770115917
Locations
94-210 Pupukahi St
Ste 204
Waipahu, HI 96797
Phone (808) 652-5482
94-239 Waipahu Depot St
Ste 201A
Waipahu, HI 96797
Phone (808) 678-9688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610496000000",
"number": "1992228431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 894824",
"city": "MILILANI",
"state": "HI",
"postal_code": "967898331",
"telephone_number": "808-762-7507",
"fax_number": "808-762-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-210 PUPUKAHI ST STE 204",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972649",
"telephone_number": "808-762-7507",
"fax_number": "808-762-7508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALOHA GROUP, CORP. DBA ISLAND PACIFIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-17",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "CONSULTA",
"authorized_official_first_name": "ANGELICA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-762-7507",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "HI",
"license": "GE-072-517-0176-01",
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992228431",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ISLAND PACIFIC CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ISLAND PACIFIC CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.