Individual provider Active NPI

Trinidad Nacapuy Tumbaga

  • Home Health Agency
  • Ewa Beach, HI
National Provider Identifier
1891394367
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
91-993 Keoneae PL
Ewa Beach, HI 96706-4720
Phone
(808) 397-9070
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HI Primary

Addresses

Primary practice location

91-993 Keoneae PL
Ewa Beach, HI 96706-4720

Mailing address

91-993 Keoneae PL
Ewa Beach, HI 96706-4720
Phone (808) 397-9070

Other identifiers 1

IdentifierTypeStateIssuer
512261MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other

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": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1891394367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-993 KEONEAE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064720",
            "telephone_number": "808-397-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-993 KEONEAE PL",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064720",
            "telephone_number": "808-397-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMBAGA",
        "first_name": "TRINIDAD",
        "middle_name": "NACAPUY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512261",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "91-993 Keoneae Pl",
            "city": "Ewa Beach",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967064720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.