Organization Active NPI

Cna Senior Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Honolulu, HI
National Provider Identifier
1063565372
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
PUC1753-C Issued in HI
Legal business name
CNA SENIOR TRANSPORT LLC
Practice address
3311 Sierra Dr
Honolulu, HI 96816-3213
Phone
(808) 735-9500
Fax
(808) 735-0800
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer W Wong, CNA
Title
Owner
Phone
(808) 358-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X PUC1753-C HI Primary

Addresses

Primary practice location

3311 Sierra Dr
Honolulu, HI 96816-3213

Mailing address

2506 Ipulei Way
Honolulu, HI 96816-3510
Phone (808) 735-9500

Other identifiers 1

IdentifierTypeStateIssuer
52727801MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Cna Senior Transport LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063565372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 IPULEI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163510",
            "telephone_number": "808-735-9500",
            "fax_number": "808-735-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SIERRA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163213",
            "telephone_number": "808-735-9500",
            "fax_number": "808-735-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNA SENIOR TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-358-7100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "PUC1753-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52727801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.