NPIMap

Organization Active NPI

The Queens Community Based Programs

  • Case Management Agency
  • Honolulu, HI
National Provider Identifier
1447311485
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
HCBS0509 Issued in HI
Legal business name
THE QUEENS COMMUNITY BASED PROGRAMS
Practice address
838 South Beretania Street
#308
Honolulu, HI 96813-4625
Phone
(808) 547-4628
Fax
(808) 547-4625
NPI assigned
Dec 13, 2006
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
THE QUEENS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Authorized official

Name
Mr. Rix Maurer III
Title
Vice President Finance
Phone
(808) 547-4329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X HCBS0509 HI Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU

Addresses

Primary practice location

838 South Beretania Street
#308
Honolulu, HI 96813-4625

Mailing address

1301 Punchbowl Street
Honolulu, HI 96813-2499
Phone (808) 547-4628

Other identifiers 4

IdentifierTypeStateIssuer
50871502MedicaidHI
50871501MedicaidHI
50871503MedicaidHI
52017301MedicaidHI

Other names 1

  • The Queens Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Queens Pob Pharmacy20 organizations share this tax ID, including this one
Part of
Queens Pob Pharmacy

Other organizations with this tax ID 19

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

View all 19

Locations

838 S Beretania St
Ste 308
Honolulu, HI 96813
Phone (808) 547-4628

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1447311485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL STREET",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132499",
            "telephone_number": "808-547-4628",
            "fax_number": "808-547-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 SOUTH BERETANIA STREET",
            "address_2": "#308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134625",
            "telephone_number": "808-547-4628",
            "fax_number": "808-547-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUEENS COMMUNITY BASED PROGRAMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE QUEENS MEDICAL CENTER",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "RIX",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "808-547-4329",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "HI",
            "license": "HCBS0509",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50871502",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50871501",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50871503",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52017301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Queens Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 25, 2012; 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.