Active NPI
Arc of Maui County
- Developmentally Disabled Services Day Training Agency
- Wailuku, HI
National Provider Identifier
1750745899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508286 | Medicaid | HI |
National Provider Directory
National Provider Directory- Tax ID family
- Arc of Maui County
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kahului, HI
- NPI 1164884649
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Kahului, HI
- NPI 1487016846
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Kihei, HI
- NPI 1518157379
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.