BLACK CORAL TRANSPORT SERVICES LLC (NPI# 1225682453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225682453 |
| Entity Type | Organization |
| Organization Name | BLACK CORAL TRANSPORT SERVICES LLC |
| Practice Address |
89-782 Ilimapapa Pl Waianae HI 96792-3901 |
| Practice Telephone | 8088617108 |
| Practice Fax Number | 8088888442 |
| Mailing Telephone | 8088617108 |
| Mailing Fax Number | 8088888442 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MARILYN U. KAAIALII (MEMBER/OWNER) |
| Authorized Official Telephone | 8088617108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
89-782 ILIMAPAPA PL |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484284 | Thomas I K Naki | Non-emergency Medical Transport (VAN) | 85-1199 Kamaileunu St, Waianae, HI 96792-2502 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322208 | Jelsa Marticio Isidro | Non-emergency Medical Transport (VAN) | 73-1295 Onaona Dr, Kailua Kona, HI 96740-9180 | 2020-09-30 |
| 1255944088 | Jj Transport LLC. | Non-emergency Medical Transport (VAN) | 99-330 Honohono St, Aiea, HI 96701-3529 | 2020-08-31 |
| 1962015024 | Carlo J Farrow | Non-emergency Medical Transport (VAN) | 94-1125 Manino Pl, Waipahu, HI 96797-4022 | 2020-08-28 |
| 1407475346 | Rosie Arreza | Non-emergency Medical Transport (VAN) | 94-1385 Hiaai Pl, Waipahu, HI 96797-3809 | 2020-04-10 |
| 1639701089 | Hazel Luab Montebon | Non-emergency Medical Transport (VAN) | 94-312 Hanawai Cir, Waipahu, HI 96797-3003 | 2020-02-04 |
| 1962033621 | M S Transport LLC | Non-emergency Medical Transport (VAN) | 94-1017 Kahuailani St Apt B, Waipahu, HI 96797-6326 | 2020-01-31 |
| 1194374280 | Roy Noel Gutierrez | Non-emergency Medical Transport (VAN) | 95-536 Hoaka Pl, Mililani, HI 96789-1003 | 2019-09-10 |
| 1346808516 | Ride Assist of Maui, LLC | Non-emergency Medical Transport (VAN) | 360 Hilu Pl, Kahului, HI 96732-1309 | 2019-06-03 |
| 1093273278 | Hawaii Medride LLC | Non-emergency Medical Transport (VAN) | 91-220 Paiaha Pl, Kapolei, HI 96707-3125 | 2019-03-07 |
| 1023572138 | Gloria Tombucon | Non-emergency Medical Transport (VAN) | 1970 Hanalima St Apt D101, Lihue, HI 96766-8928 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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| 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.