Active NPI
Manoa Elder Care, L.L.C.
Doing business as Manoa Senior Care
- Adult Care Home Facility
- Honolulu, HI
National Provider Identifier
1073872974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- OHCA#1262-C
- Legal business name
- MANOA ELDER CARE, L.L.C.
- Doing business as
- Manoa Senior Care
- Practice address
- 2240 Oahu Ave
Honolulu, HI 96822-2209 - Phone
- (808) 952-6411
- Fax
- (808) 952-6511
- NPI assigned
- May 11, 2012
- 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
- Mr. Paul M Dold
- Title
- President
- Phone
- (808) 440-0560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | OHCA#1262-C | HI | Primary |
Addresses
Primary practice location
2240 Oahu Ave
Honolulu, HI 96822-2209
Mailing address
918 12TH Avenue
Suite 1000
Honolulu, HI 96816
Phone (808) 440-0560
Other names 1
- Manoa Senior Care
National Provider Directory
National Provider Directory- Tax ID family
- Manoa Elder Care LLC
Other organizations with this tax ID 2
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": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1073872974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 12TH AVENUE",
"address_2": "SUITE 1000",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-440-0560",
"fax_number": "808-531-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 OAHU AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968222209",
"telephone_number": "808-952-6411",
"fax_number": "808-952-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANOA ELDER CARE, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "DOLD",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-440-0560",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "HI",
"license": "OHCA#1262-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Manoa Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Honolulu, HI
- Joseph John Balbas Manlolo, M.D.
- Sylvia Mann, M.S.
- Colette Manning, RN
- Linda Dianne Manning
- Brian J. Mannino, M.D.
- Manoa Elder Care, L.L.C. (Manoa Senior Care)
- Manoa Elder Care, L.L.C. (Manoa Senior Care)
- Manoa Family Medicine, LLC (Manoa Family Medicine Group)
- Manoa Family Practice LLC
- Manoa Senior Care, LLC (Manoa Senior Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.