NPIMap

Organization Active NPI

Manoa Senior Care, LLC

Doing business as Manoa Senior Care

  • Adult Care Home Facility
  • Honolulu, HI
National Provider Identifier
1780943084
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
OHCA#1292-C Issued in HI
Legal business name
MANOA SENIOR CARE, LLC
Doing business as
Manoa Senior Care
Practice address
2872 Oahu Ave
Honolulu, HI 96822-1726
Phone
(808) 988-0711
Fax
(808) 988-9131
NPI assigned
May 8, 2012
Last updated
May 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Mr. Paul M Dold
Title
President
Phone
(808) 440-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X OHCA#1292-C HI Primary

Addresses

Primary practice location

2872 Oahu Ave
Honolulu, HI 96822-1726

Mailing address

918 12TH Ave
Suite 1000
Honolulu, HI 96816-2251
Phone (808) 440-0560

Other names 1

  • Manoa Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1780943084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 12TH AVE",
            "address_2": "SUITE 1000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162251",
            "telephone_number": "808-440-0560",
            "fax_number": "808-531-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2872 OAHU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221726",
            "telephone_number": "808-988-0711",
            "fax_number": "808-988-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOA SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "DOLD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-440-0560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "HI",
            "license": "OHCA#1292-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manoa Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.