The Arc in Hawaii

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

IMR 27 Issued in HI

Legal business name

THE ARC IN HAWAII

Practice address

3705 Mahina Ave
Honolulu, HI 96816-3724

Phone

(808) 737-7995

Fax

(808) 732-9531

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Colleen Kojima

Title

Executive Director

Phone

(808) 737-7995

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 12G029

Legal name

THE ARC IN HAWAII - KAIMUKI A

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 10, 1994

Last certification

Jan 20, 2022

Beds

5

Ownership / control type

Private (non-profit)

Facility address

3705 Mahina Avenue
Honolulu, HI 96816

Tax ID family

The Arc in Hawaii9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ewa Beach, HI
  • NPI 1194854844
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Honolulu, HI
  • NPI 1285763961
  NPD tax ID
• The Arc in Hawaii

  • Voluntary or Charitable Agency
  • Honolulu, HI
  • NPI 1336237882
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wahiawa, HI
  • NPI 1659400398
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Honolulu, HI
  • NPI 1811026594
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ewa Beach, HI
  • NPI 1871622597
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Honolulu, HI
  • NPI 1942404611
  NPD tax ID
• The Arc in Hawaii

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Honolulu, HI
  • NPI 1962531681
  NPD tax ID

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225168503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 DIAMOND HEAD RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164413",
            "telephone_number": "808-737-7995",
            "fax_number": "808-732-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MAHINA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163724",
            "telephone_number": "808-737-7995",
            "fax_number": "808-732-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC IN HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOJIMA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-737-7995"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "HI",
            "license": "IMR 27",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51921701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Arc in Hawaii
• The Arc in Hawaii
• The Arc in Hawaii
• The Arc in Hawaii
• The Arc in Hawaii

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.