Individual provider Active NPI

Mika Giada Manding

  • In Home Supportive Care Agency
  • Kapolei, HI
National Provider Identifier
1598343642
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
92-574 Ualehei St
Kapolei, HI 96707-1021
Phone
(808) 379-8056
Fax
(808) 425-4463
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

92-574 Ualehei St
Kapolei, HI 96707-1021

Mailing address

92-574 Ualehei St
Kapolei, HI 96707-1021
Phone (808) 379-8056

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mikamanding@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1598343642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-574 UALEHEI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071021",
            "telephone_number": "808-379-8056",
            "fax_number": "808-425-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-574 UALEHEI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071021",
            "telephone_number": "808-379-8056",
            "fax_number": "808-425-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDING",
        "first_name": "MIKA GIADA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mikamanding@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "92-574 Ualehei St",
            "city": "Kapolei",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967071021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.