NPIMap

Organization Active NPI

3GS Direct Care Services Provider LLC

  • In Home Supportive Care Agency
  • Honolulu, HI
National Provider Identifier
1265028237
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
3GS DIRECT CARE SERVICES PROVIDER LLC
Practice address
1188 Bishop St Ste 3305
Honolulu, HI 96813-3313
Phone
(808) 294-1402
Fax
(877) 297-3821
NPI assigned
Dec 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Gloria Quiling Raymundo
Title
Ceo , President
Phone
(808) 294-1402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1188 Bishop St Ste 3305
Honolulu, HI 96813-3313

Mailing address

91-692 Makalea St # 121
Ewa Beach, HI 96706-5944
Phone (808) 294-1402

Other names 1

  • 3GS DIRECT CARE SERVICES PROVIDER, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
3G'S Direct Care Services Provider LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1265028237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-692 MAKALEA ST # 121",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065944",
            "telephone_number": "808-294-1402",
            "fax_number": "877-297-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133313",
            "telephone_number": "808-294-1402",
            "fax_number": "877-297-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3GS DIRECT CARE SERVICES PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "RAYMUNDO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "QUILING",
        "authorized_official_title_or_position": "CEO , PRESIDENT",
        "authorized_official_telephone_number": "808-294-1402"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3GS DIRECT CARE SERVICES PROVIDER, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "3GS DIRECT CARE SERVICES PROVIDER, LLC",
            "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 Dec 18, 2020; 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.