Organization Active NPI

Megacare LLC

  • Home Health Registered Nurse
  • Wailuku, HI
National Provider Identifier
1679273890
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
MEGACARE LLC
Practice address
291 Hookahi St Unit 104
Wailuku, HI 96793-1470
Phone
(808) 856-1466
Fax
(808) 868-0504
NPI assigned
Mar 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Minerva Purugganan Borja
Title
General Manager
Phone
(808) 856-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

291 Hookahi St Unit 104
Wailuku, HI 96793-1470

Mailing address

291 Hookahi St Unit 104
Wailuku, HI 96793-1470
Phone (808) 856-1466

Other identifiers 1

IdentifierTypeStateIssuer
002541MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Megacare LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

291 Hookahi St
Ste 104
Wailuku, HI 96793
Phone (808) 856-1466

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679273890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 HOOKAHI ST UNIT 104",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931470",
            "telephone_number": "808-856-1466",
            "fax_number": "808-868-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 HOOKAHI ST UNIT 104",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931470",
            "telephone_number": "808-856-1466",
            "fax_number": "808-868-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "MINERVA",
        "authorized_official_middle_name": "PURUGGANAN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "808-856-1466"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002541",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.