Organization Active NPI

Coordinated Services for the Elderly

  • In Home Supportive Care Agency
  • Hilo, HI
National Provider Identifier
1629204789
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COORDINATED SERVICES FOR THE ELDERLY
Practice address
1055 Kinoole St
Suite 106
Hilo, HI 96720-3872
Phone
(808) 961-8777
Fax
(808) 961-8704
NPI assigned
Jun 3, 2009
Organization subpart
Yes
Parent organization
COUNTY OF HAWAI'IAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Mrs. Zoeanne M Bianchi
Title
Account Clerk
Phone
(808) 961-8777

Specialties & licenses 1

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

Addresses

Primary practice location

1055 Kinoole St
Suite 106
Hilo, HI 96720-3872

Mailing address

1055 Kinoole St
Suite 106
Hilo, HI 96720-3872
Phone (808) 961-8777

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Coordinated Services for the Elderly2 organizations share this tax ID, including this one
Part of
Coordinated Services for the Elderly

Other organizations with this tax ID 1

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

Locations

1055 Kinoole St
Ste 106
Hilo, HI 96720
Phone (808) 961-8777

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1629204789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 KINOOLE ST",
            "address_2": "SUITE 106",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203872",
            "telephone_number": "808-961-8777",
            "fax_number": "808-961-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 KINOOLE ST",
            "address_2": "SUITE 106",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203872",
            "telephone_number": "808-961-8777",
            "fax_number": "808-961-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED SERVICES FOR THE ELDERLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF HAWAI'I",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "ZOEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACCOUNT CLERK",
        "authorized_official_telephone_number": "808-961-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.