Individual provider Active NPI

Mylene M Dalere

  • Foster Care Agency
  • Waipahu, HI
National Provider Identifier
1780550129
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1-250061 Issued in HI
Practice address
94-103 Pupuole PL Unit B
Waipahu, HI 96797-2308
Phone
(808) 909-5161
Fax
(808) 676-5675
NPI assigned
Oct 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 1-250061 HI Primary

Addresses

Primary practice location

94-103 Pupuole PL Unit B
Waipahu, HI 96797-2308

Mailing address

94-103 Pupuole PL Unit B
Waipahu, HI 96797-2308

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

State licenses

LicenseStateTypeSpecialty
1-250061HIMDFoster Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1780550129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-103 PUPUOLE PL UNIT B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-103 PUPUOLE PL UNIT B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972308",
            "telephone_number": "808-909-5161",
            "fax_number": "808-676-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALERE",
        "first_name": "MYLENE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "HI",
            "license": "1-250061",
            "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 Oct 14, 2025; 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.