Healthcare Provider Details

I. General information

NPI: 1629980487
Provider Name (Legal Business Name): ISLAND NURSE COMPANION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

995 MILILANI ST
HILO HI
96720-4353
US

IV. Provider business mailing address

995 MILILANI ST
HILO HI
96720-4353
US

V. Phone/Fax

Practice location:
  • Phone: 808-315-0860
  • Fax:
Mailing address:
  • Phone: 808-315-0860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: VIOLET SILVA
Title or Position: RN COMPANION
Credential: RN
Phone: 808-895-7994