NPIMap

Organization Active NPI

Family Support Services of Westhawaii

  • Early Intervention Provider Agency
  • Kailua Kona, HI
National Provider Identifier
1720335318
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FAMILY SUPPORT SERVICES OF WESTHAWAII
Practice address
75-127 Lunapule Rd
Suite 11
Kailua Kona, HI 96740-2119
Phone
(808) 334-4116
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mr. Ray Payl Wofford, LSW
Title
Executive Director
Phone
(808) 334-4189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

75-127 Lunapule Rd
Suite 11
Kailua Kona, HI 96740-2119

Mailing address

75-127 Lunapule Rd
Suite 11
Kailua Kona, HI 96740-2119

Other identifiers 1

IdentifierTypeStateIssuer
64642402MedicaidHI

Other names 1

  • Kona Child Development Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Support Services of West Hawaii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1720335318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD",
            "address_2": "SUITE 11",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD",
            "address_2": "SUITE 11",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402119",
            "telephone_number": "808-334-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUPPORT SERVICES OF WESTHAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "WOFFORD",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "PAYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-334-4189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64642402",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kona Child Development",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.