NPIMap

Organization Active NPI

Arc of Maui County

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kahului, HI
National Provider Identifier
1487016846
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
IMR-38 Issued in HI
Legal business name
ARC OF MAUI COUNTY
Practice address
450 B Kanaloa Avenue
Kahului, HI 96732
Phone
(808) 242-5781
Fax
(808) 244-4061
NPI assigned
Mar 24, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ARC OF MAUI COUNTY - KANALOA RESIDENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Nancy Segundo
Title
Cfo
Phone
(808) 242-5781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X IMR-38 HI Primary

Addresses

Primary practice location

450 B Kanaloa Avenue
Kahului, HI 96732

Mailing address

450 B Kanaloa Avenue
Kahului, HI 96732
Phone (808) 242-5781

Other identifiers 1

IdentifierTypeStateIssuer
0082499-3MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Arc of Maui County4 organizations share this tax ID, including this one
Part of
Arc of Maui County

Other organizations with this tax ID 3

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": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1487016846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 B KANALOA AVENUE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "96732",
            "telephone_number": "808-242-5781",
            "fax_number": "808-244-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 B KANALOA AVENUE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "96732",
            "telephone_number": "808-242-5781",
            "fax_number": "808-244-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF MAUI COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC OF MAUI COUNTY - KANALOA RESIDENCE",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "SEGUNDO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-242-5781"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "HI",
            "license": "IMR-38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082499-3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.