North Shore Health and Wellness, LLC
Organization Active NPI Home Health Agency · Waialua, HI
NPI 1043721061 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1043721061
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- GE-030-154-8544-01 (HI)
- Legal business name
- NORTH SHORE HEALTH AND WELLNESS, LLC
- Practice address
- 67059 Kaioe Place
Waialua, HI 96791-9679 - Phone
- (808) 228-9733
- Fax
- (808) 427-5144
- NPI assigned
- Oct 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Kelly Michele Cerutti, NP
- Title
- Aprn/Owner
- Phone
- (808) 228-9733
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GE-030-154-8544-01 | HI | Yes |
Addresses
Primary practice location
67059 Kaioe Place
Waialua, HI 96791-9679
Mailing address
PO Box 1163
Waialua, HI 96791-1163
Phone (907) 301-3196
Other providers in Waialua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.