Menor Foster Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

MENOR FOSTER HOME

Practice address

1428 Kaumoli PL
Pearl City, HI 96782-1921

Phone

(808) 343-3606

NPI assigned

May 10, 2017

Last updated

May 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlynne Menor

Title

Caregiver

Phone

(808) 343-3606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1376079459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 KAUMOLI PL",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821921",
            "telephone_number": "808-343-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 KAUMOLI PL",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821921",
            "telephone_number": "808-343-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENOR FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "MENOR",
        "authorized_official_first_name": "CHARLYNNE",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "808-343-3606"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Physical Disabilities Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.