Organization Active NPI

Roman Catholic Church in the State of Hawaii

Doing business as Hale Kau Kau

  • Home Delivered Meals
  • Kihei, HI
National Provider Identifier
1629660725
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
ROMAN CATHOLIC CHURCH IN THE STATE OF HAWAII
Doing business as
Hale Kau Kau
Practice address
25 W Lipoa St
Kihei, HI 96753-8128
Phone
(808) 875-8754
Fax
(808) 875-4674
NPI assigned
Feb 9, 2021
Organization subpart
Yes
Parent organization
ROMAN CATHOLIC CHURCH IN THE STATE OF HAWAIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Shawn Michelle Wallen
Title
Administrative Assistant/Biller
Phone
(808) 875-8754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

25 W Lipoa St
Kihei, HI 96753-8128

Mailing address

25 W Lipoa St
Kihei, HI 96753-8128
Phone (808) 875-8754

Other identifiers 1

IdentifierTypeStateIssuer
757883MedicaidHI

Other names 1

  • Hale Kau Kau Doing business as

National Provider Directory

National Provider Directory
Part of
Roman Catholic Church in the State of Hawaii

Locations

25 W Lipoa St
Kihei, HI 96753
Phone (808) 875-8754

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1629660725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W LIPOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538128",
            "telephone_number": "808-875-8754",
            "fax_number": "808-875-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W LIPOA ST",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538128",
            "telephone_number": "808-875-8754",
            "fax_number": "808-875-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN CATHOLIC CHURCH IN THE STATE OF HAWAII",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROMAN CATHOLIC CHURCH IN THE STATE OF HAWAII",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT/BILLER",
        "authorized_official_telephone_number": "808-875-8754"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757883",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale Kau Kau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.