MANILYN B NAGTALON (NPI# 1073069134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073069134 |
| Entity Type | Organization |
| Organization Name | MANILYN B NAGTALON |
| Practice Address |
91-1002 Fort Weaver Rd Ewa Beach HI 96706-2229 |
| Practice Telephone | 8087446396 |
| Practice Fax Number | 8087446396 |
| Mailing Telephone | 8087446396 |
| Mailing Fax Number | 8087446396 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | MANILYN NAGTALON (CAREGIVER) |
| Authorized Official Telephone | 8087446396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | W48371325-01 | HI | Nursing & Custodial Care Facilities |
| Street Address |
91-1002 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225573124 | Lyndon Redona | Nursing Facility/Intermediate Care Facility | 94-1065 Lumiaina St, Waipahu, HI 96797-3912 | 2016-12-30 |
| 1659658664 | Craigside Retirement Residence | Nursing Facility/Intermediate Care Facility | 15 Craigside Pl, Honolulu, HI 96817-1799 | 2011-11-04 |
| 1457412066 | Kohala Hospital | Nursing Facility/Intermediate Care Facility | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-13 |
| 1699782342 | Kahala Senior Living Community Inc | Nursing Facility/Intermediate Care Facility | 4389 Malia St, Honolulu, HI 96821-1106 | 2006-08-02 |
| 1124063003 | Pc Care Corp | Nursing Facility/Intermediate Care Facility | 919 Lehua Ave, Pearl City, HI 96782-3328 | 2006-06-17 |
| 1558346528 | Maunalani Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 5113 Maunalani Cir, Honolulu, HI 96816-4019 | 2005-12-13 |
| 1376525584 | Diversified Health Services | Nursing Facility/Intermediate Care Facility | 1900 Bachelot St, Honolulu, HI 96817-2431 | 2005-11-15 |
| 1992792733 | Hale Kupuna Heritage Home, LLC | Nursing Facility/Intermediate Care Facility | 4297c Omao Rd, Koloa, HI 96756-9624 | 2005-10-05 |
| 1598765414 | Leki, Incorporated | Nursing Facility/Intermediate Care Facility | 469 Ena Rd, 2301, Honolulu, HI 96815-1749 | 2005-07-21 |
| 1043214380 | Ocf Partners | Nursing Facility/Intermediate Care Facility | 1808 S Beretania St, Honolulu, HI 96826-1305 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MANILYN B NAGTALON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.