Jailanie Canonizado Valera
Individual provider Active NPI Home Health Aide · Wailea, HI
NPI 1336032184 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1336032184
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- RN-116437 (HI)
- Practice address
- 3079 Manu Hope PL
Wailea, HI 96753-7712 - Phone
- (808) 276-1965
- NPI assigned
- May 30, 2025
- 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 |
|---|---|---|---|
| RN-116437 | HI | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | RN-116437 | HI | Yes |
Addresses
Primary practice location
3079 Manu Hope PL
Wailea, HI 96753-7712
Mailing address
38 Wailani St
Wailuku, HI 96793-1818
Phone (808) 276-1965
Other providers in Wailea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. 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.