NPIMap

Organization Active NPI

Marimed Foundation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Kaneohe, HI
National Provider Identifier
1104192970
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
MARIMED FOUNDATION
Practice address
47-292 Ahaolelo Rd
Kaneohe, HI 96744-4803
Phone
(808) 239-2939
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Mr. Dane Ganes
Title
Qa and HR Director
Phone
(808) 380-9964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

47-292 Ahaolelo Rd
Kaneohe, HI 96744-4803

Mailing address

45-021 Likeke PL
Kaneohe, HI 96744-2426
Phone (808) 239-2939

National Provider Directory

National Provider Directory
Tax ID family
Marimed Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Interoperability endpoints

  • Direct secure messaging: kailana.marimed@hawaiihie.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1104192970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-021 LIKEKE PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442426",
            "telephone_number": "808-239-2939",
            "fax_number": "808-397-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47-292 AHAOLELO RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444803",
            "telephone_number": "808-239-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIMED FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GANES",
        "authorized_official_first_name": "DANE",
        "authorized_official_title_or_position": "QA AND HR DIRECTOR",
        "authorized_official_telephone_number": "808-380-9964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.