Active NPI
Coordinated Services for the Elderly
- In Home Supportive Care Agency
- Hilo, HI
National Provider Identifier
1629204789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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'I
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Coordinated Services for the Elderly
- 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.
-
- Non-emergency Medical Transport (VAN)
- Hilo, HI
- NPI 1366677742
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.