Organization Active NPI

Genuine808 Case Management

  • Case Management Agency
  • Ewa Beach, HI
National Provider Identifier
1578338323
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GENUINE808 CASE MANAGEMENT
Practice address
91-1537 Milimili St
Ewa Beach, HI 96706-5674
Phone
(808) 807-3412
Fax
(808) 460-4008
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Jackieflor DaponNPI 1861265175
Title
RN / Owner
Phone
(808) 807-3412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

91-1537 Milimili St
Ewa Beach, HI 96706-5674

Mailing address

91-1537 Milimili St
Ewa Beach, HI 96706-5674

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1578338323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1537 MILIMILI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1537 MILIMILI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065674",
            "telephone_number": "808-807-3412",
            "fax_number": "808-460-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE808 CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "DAPON",
        "authorized_official_first_name": "JACKIEFLOR",
        "authorized_official_title_or_position": "RN / OWNER",
        "authorized_official_telephone_number": "808-807-3412"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.