Individual provider Active NPI

Wilna Madayag, CNA

  • Adult Care Home Facility
  • Waipahu, HI
National Provider Identifier
1730553793
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Practice address
94-110 Kaupu PL
Waipahu, HI 96797-3800
Phone
(808) 784-9204
Fax
(808) 888-7486
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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 HI Primary

Addresses

Primary practice location

94-110 Kaupu PL
Waipahu, HI 96797-3800

Mailing address

94-110 Kaupu PL
Waipahu, HI 96797-3800
Phone (808) 784-9204

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1730553793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-110 KAUPU PL",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973800",
            "telephone_number": "808-784-9204",
            "fax_number": "808-888-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-110 KAUPU PL",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973800",
            "telephone_number": "808-784-9204",
            "fax_number": "808-888-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAYAG",
        "first_name": "WILNA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.