Active NPI
Hale Nui Community Services, Inc.
- Developmentally Disabled Services Day Training Agency
- Waialua, HI
National Provider Identifier
1205108461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 00543092
- Legal business name
- HALE NUI COMMUNITY SERVICES, INC.
- Practice address
- 67-292 Goodale Ave
#A6
Waialua, HI 96791-9664 - Phone
- (808) 637-2464
- Fax
- (808) 637-4577
- NPI assigned
- Feb 3, 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
- Mrs. Marcelle Ulep
- Title
- President
- Phone
- (808) 223-8840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 00543092 | HI | Primary |
Addresses
Primary practice location
67-292 Goodale Ave
#A6
Waialua, HI 96791-9664
Mailing address
PO Box 1160
Waialua, HI 96791-1160
Phone (808) 637-2646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00543092 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
67-292 Goodale Ave
#A6
Waialua, HI 96791
Phone (808) 637-2464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1205108461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1160",
"city": "WAIALUA",
"state": "HI",
"postal_code": "967911160",
"telephone_number": "808-637-2646",
"fax_number": "808-637-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-292 GOODALE AVE",
"address_2": "#A6",
"city": "WAIALUA",
"state": "HI",
"postal_code": "967919664",
"telephone_number": "808-637-2464",
"fax_number": "808-637-4577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALE NUI COMMUNITY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "ULEP",
"authorized_official_first_name": "MARCELLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-223-8840",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "HI",
"license": "00543092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00543092",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waialua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.