Nina Myra Badua, CNA
Individual provider Active NPI Adult Care Home Facility · Ewa Beach, HI
NPI 1144827148 · NPPES record last updated Oct 3, 2020
Key facts
- NPI
- 1144827148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- License
- 1-190044 (HI)
- Practice address
- 91-1307 Maliko St
Ewa Beach, HI 96706-1809 - Phone
- (808) 729-6560
- Fax
- (808) 681-3383
- NPI assigned
- Oct 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-190044 | HI | MD | Adult Care Home Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1-190044 | HI | Yes |
Addresses
Primary practice location
91-1307 Maliko St
Ewa Beach, HI 96706-1809
Mailing address
91-1307 Maliko St
Ewa Beach, HI 96706-1809
Phone (808) 729-6560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-190044 | Other | HI | DOH OHCA |
| 2027619 | Other | HI | OHANA WELLCARE |
Other providers in Ewa Beach, HI
- Audie Asistin, M.D., Inc
- Aurora C Mariani MD
- Sidney Malia Ayakawa
- Gina Bacal
- Jonelee Badua
- Birdie Ann Bagor
- Elizabeth Bain
- Aldhen Bala
- Clara Maria Balha
- Charis Baluyot
All providers in Ewa Beach, HI · Adult Care Home Facility in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.