Active NPI
Cna Senior Transport LLC
- Non-emergency Medical Transport (VAN)
- Honolulu, HI
National Provider Identifier
1063565372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- PUC1753-C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52727801 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Cna Senior Transport LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Honolulu, HI
- NPI 1881866135
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.