Manilyn B Nagtalon

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

W48371325-01 Issued in HI

Legal business name

MANILYN B NAGTALON

Practice address

91-1002 Fort Weaver Rd
Ewa Beach, HI 96706-2229

Phone

(808) 744-6396

Fax

(808) 744-6396

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Manilyn Nagtalon

Title

Caregiver

Phone

(808) 744-6396

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1073069134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1002 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062229",
            "telephone_number": "808-744-6396",
            "fax_number": "808-744-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1002 FORT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062229",
            "telephone_number": "808-744-6396",
            "fax_number": "808-744-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILYN B NAGTALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "NAGTALON",
        "authorized_official_first_name": "MANILYN",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "808-744-6396"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "W48371325-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Nursing Facility/Intermediate Care Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.