M & C Foster Care Home LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

M & C FOSTER CARE HOME LLC

Practice address

3093 Woolsey PL
Honolulu, HI 96822-1569

Phone

(509) 619-5836

Fax

(808) 988-6452

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Miki Manansala

Title

Registered Nurse

Phone

(509) 619-5836

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1083191027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 WOOLSEY PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221569",
            "telephone_number": "509-619-5836",
            "fax_number": "808-988-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 WOOLSEY PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221569",
            "telephone_number": "509-619-5836",
            "fax_number": "808-988-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & C FOSTER CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "MANANSALA",
        "authorized_official_first_name": "MIKI",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "509-619-5836"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Renee Larosa Lyons, APRN-RX, FNP-BC
• Lyonsmassage&Bodywork
• Steven Lypen, M.D.
• Kathleen Lysell
• Molly Lytton, LMFT
• M Kathryn Schaefer MD LLC
• M. K. Dental Care LLC
• Reyhan Ma-Albertson
• Adrienne Tsin-Hao Ma, M.D.
• Anthony Mu-Ywan Ma

• Custodial Care Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Custodial Care Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.