Individual provider Active NPI

Melanie Picardal Jovenal

  • Adult Care Home Facility
  • Ewa Beach, HI
National Provider Identifier
1639087745
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Practice address
91-1043 Kailoa St
Ewa Beach, HI 96706-5016
Phone
(808) 689-5310
Fax
(808) 689-5310
NPI assigned
Aug 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

91-1043 Kailoa St
Ewa Beach, HI 96706-5016

Mailing address

91-1043 Kailoa St
Ewa Beach, HI 96706-5016
Phone (808) 689-5310

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1639087745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1043 KAILOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065016",
            "telephone_number": "808-689-5310",
            "fax_number": "808-689-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1043 KAILOA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065016",
            "telephone_number": "808-689-5310",
            "fax_number": "808-689-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVENAL",
        "first_name": "MELANIE",
        "middle_name": "PICARDAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.