Organization Active NPI

Huapala Senior Care B, LLC

  • Adult Care Home Facility
  • Honolulu, HI
National Provider Identifier
1235638487
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
1527-C Issued in HI
Legal business name
HUAPALA SENIOR CARE B, LLC
Practice address
2649B Huapala St
Honolulu, HI 96822-1653
Phone
(808) 440-0560
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Paul M. Dold
Title
Manager
Phone
(808) 440-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1527-C HI Primary

Addresses

Primary practice location

2649B Huapala St
Honolulu, HI 96822-1653

Mailing address

918 12TH Ave Ste 1000
Honolulu, HI 96816-2251
Phone (808) 440-0560

Other names 1

  • Manoa Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1235638487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 12TH AVE STE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162251",
            "telephone_number": "808-440-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649B HUAPALA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221653",
            "telephone_number": "808-440-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUAPALA SENIOR CARE B, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "DOLD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-440-0560"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": "1527-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manoa Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.