Norma Bajet Manzano, CCFFH

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1-190014 Issued in HI

Practice address

404 Malamalama St
Kapolei, HI 96707-2094

Phone

(808) 651-4017

Fax

(808) 200-0056

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1427617364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MALAMALAMA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072094",
            "telephone_number": "808-651-4017",
            "fax_number": "808-200-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MALAMALAMA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072094",
            "telephone_number": "808-651-4017",
            "fax_number": "808-200-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "NORMA",
        "middle_name": "BAJET",
        "credential": "CCFFH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "HI",
            "license": "1-190014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GE-212-818-7904-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nada Rose Mangialetti, PH.D.
• Jennifer Manner
• Manoa Breastfeeding Support LLC
• Keeley Mantanona
• Mikayla Manzano
• Brandon Marcello
• Kammie SM Marcus
• Valerie Rose Marino, PA-C
• Mark H. Bernstein,MD Inc
• Alexis Marquina

• Community Based Hospice Care Agency in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Community Based Hospice Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.