CASTLE MEDICAL CENTER (NPI# 1679556492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679556492 |
| Entity Type | Organization |
| Organization Name | CASTLE MEDICAL CENTER |
| Practice Address |
640 Ulukahiki St Kailua HI 96734-4454 |
| Practice Telephone | 8082635142 |
| Practice Fax Number | 8082635143 |
| Mailing Telephone | 8082635142 |
| Mailing Fax Number | 8082635143 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALE NORTHROP (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 8082635142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948519 | Castle Medical Center | Clinic/Center | 55-510 Kamehameha Hwy Laie, Suite 5, Laie, HI 96762-1119 | 2015-07-20 |
| 1659409266 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1679540264 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 46 001 Kamehameha Hwy, Suite 108, Kaneohe, HI 96744 | 2006-03-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1710336011 | Castle Medical Center | Internal Medicine | 30 Aulike St, Suite 501, Kailua, HI 96734-2739 | 2016-06-07 |
| 1902059579 | Castle Medical Center | General Acute Care Hospital | 642 Ulukahiki Street, Kailua, HI 96734-4454 | 2008-10-28 |
| 1497872121 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-03-26 |
| 1235262114 | Castle Medical Center | Pharmacy | 640 Ulukahiki St, Inpatient Pharmacy, Kailua, HI 96734 | 2007-03-13 |
| 1588792196 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1588631170 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 642 Ulukahiki St, Ste 101, Kailua, HI 96734 | 2006-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASTLE MEDICAL CENTER | 640 Ulukahiki St, Kailua, HI 96734-4454 |
| Street Address |
640 ULUKAHIKI ST |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1679190920 | Erica Shea Adcock | Nurse Practitioner | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2020-07-02 |
| 1275047458 | Regina Garrievna Campanelli | Registered Nurse | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2017-11-26 |
| 1154780013 | Valerie A Cacho Md Inc | Internal Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2016-02-19 |
| 1417339326 | Victor W. Galson | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-06-26 |
| 1760864664 | Jennifer G. Lee | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-06-26 |
| 1275922114 | Nicole A Kerr | Dietitian, Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2015-01-15 |
| 1447666821 | Wilson Internal Medicine, LLC | Internal Medicine | 640 Ulukahiki St, Suite 103, Kailua, HI 96734-4454 | 2014-07-07 |
| 1528472776 | Bennett O. Lee | Emergency Medicine | 640 Ulukahiki St, Kailua, HI 96734 | 2014-06-16 |
| 1275970915 | Critical Care Hawaii LLC | Anesthesiology | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603503 | Allen Walterman | Skilled Nursing Facility | 46-477 Kuneki Way, Kaneohe, HI 96744-3538 | 2016-08-06 |
| 1366802654 | Lila Pagtulingan | Skilled Nursing Facility | 91-1056 Niolo St, Ewa Beach, HI 96706-5117 | 2016-02-29 |
| 1447623939 | Island Paradise Investments, Lp | Skilled Nursing Facility | 1723 Kalakaua Avenue, Honolulu, HI 96826 | 2015-11-05 |
| 1730420332 | Genesis Rehab Services | Skilled Nursing Facility | 41-749 Mekia St, Waimanalo, HI 96795-1339 | 2013-03-06 |
| 1861749871 | Sys East, LLC | Skilled Nursing Facility | 748 Olokele Ave, Honolulu, HI 96816-1019 | 2012-08-08 |
| 1962761031 | James Care, LLC | Skilled Nursing Facility | 87-122a Auyong Hmstd Rd, Waianae, HI 96792-3703 | 2012-05-10 |
| 1225329329 | Alohalani Medical Services, LLC | Skilled Nursing Facility | 2043 Puna St, Honolulu, HI 96817-1519 | 2011-04-22 |
| 1255646543 | Princess Joy Domngo | Skilled Nursing Facility | 73-1340 Kaiminani Dr, Kailua Kona, HI 96740-8521 | 2010-08-11 |
| 1326231002 | Mary Linda Paul M.d., Inc. | Skilled Nursing Facility | 4297 Omao Rd, Koloa, HI 96756-9624 | 2007-08-24 |
| 1477756245 | Hawaii Health Systems Corporation | Skilled Nursing Facility | 1180 Waianuenue Ave, Hilo, HI 96720-2020 | 2007-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.