Tradewinds at the Ponds, LLC
Organization Active NPI Assisted Living Facility · Hauula, HI
NPI 1497987879 · NPPES record last updated Aug 18, 2009
Key facts
- NPI
- 1497987879
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- TRADEWINDS AT THE PONDS, LLC
- Practice address
- 53-594 Kamehameha Hwy
Hauula, HI 96717-9648 - Phone
- (808) 293-1100
- NPI assigned
- Aug 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenneth L Robertson
- Title
- Manager
- Phone
- (503) 580-6925
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes | ||
| Custodial Care Facility | 311Z00000X |
Addresses
Primary practice location
53-594 Kamehameha Hwy
Hauula, HI 96717-9648
Mailing address
53-594 Kamehameha Hwy
Hauula, HI 96717-9648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W94691789-01 | Other | HI | STATE OF HAWAII |
Other names
- The Ponds at Punalu'u
Other providers in Hauula, HI
- Matai Schwalger
- Hollie Renee Seward
- State of Hawaii Department of Health
- Leialoha T Thompson
- Emily Todd
- Raymond Watson
All providers in Hauula, HI · Assisted Living Facility in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2009. 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.