Organization Active NPI

Arc of Maui County

  • Developmentally Disabled Services Day Training Agency
  • Wailuku, HI
National Provider Identifier
1750745899
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ARC OF MAUI COUNTY
Practice address
95 Mahalani St
Suite 17
Wailuku, HI 96793-2521
Phone
(808) 242-5781
Fax
(808) 244-4061
NPI assigned
Apr 5, 2016
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Nancy Segundo
Title
Cfo
Phone
(808) 242-5781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

95 Mahalani St
Suite 17
Wailuku, HI 96793-2521

Mailing address

95 Mahalani St
Suite 17
Wailuku, HI 96793-2521
Phone (808) 242-5781

Other identifiers 1

IdentifierTypeStateIssuer
508286MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Arc of Maui County4 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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1750745899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST",
            "address_2": "SUITE 17",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-242-5781",
            "fax_number": "808-244-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST",
            "address_2": "SUITE 17",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-242-5781",
            "fax_number": "808-244-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF MAUI COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "SEGUNDO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-242-5781"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508286",
            "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 Apr 5, 2016; 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.