BREAKING BOUNDARIES (NPI# 1245461581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245461581 |
| Entity Type | Organization |
| Organization Name | BREAKING BOUNDARIES |
| Practice Address |
84-1170 Farrington Hwy A2-bfa Waianae HI 96792-2060 |
| Mailing Address |
338 Kamokila Blvd. Suite 206 Kapolei HI 96707 |
| Practice Telephone | 8086950444 |
| Practice Fax Number | 8086950555 |
| Mailing Telephone | 8083121530 |
| Mailing Fax Number | 8087446793 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-02-21 |
| Authorized Official Name | MS. WANDA M CURRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 8082650713 |
| Authorized Official Credential | CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BREAKING BOUNDARIES | Co 2305 Pacific Ave Suite A, Forest Grove, OR 97116 |
| Oregon Corporations, Companies and Business Names | BREAKING BOUNDARIES ENTERPRISES | 125 Nw 20th Pl, Apt 512, Portland, OR 97209 |
| New York State Corporations | BREAKING BOUNDARIES OT AND PT SERVICES, PLLC | 3860 Atlantic Ave., Fairport, Ny 14450 |
| Street Address |
84-1170 FARRINGTON HWY A2-BFA |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1407271554 | Breaking Boundaries Recovery Services | Case Management | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2014-02-26 |
| 1700038155 | Makaha Clubhouse | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-10-16 |
| 1306096110 | Charlotte Vowell | Registered Nurse | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1720238520 | Howard Leslie | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1356591168 | Donna Oshiro | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1164672978 | Leonard Rhodes | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270551 | Stephanie Makino-kahuli | Community Based Residential Treatment Facility, Mental Illness | 1786 Kinoole St, Hilo, HI 96720-5245 | 2020-03-19 |
| 1073969036 | Armen Armaghanyan | Community Based Residential Treatment Facility, Mental Illness | 896 Kumukoa St, Hilo, HI 96720-4028 | 2016-05-09 |
| 1922427129 | Poailani, Inc | Community Based Residential Treatment Facility, Mental Illness | 553 Kawainui St, Kailua, HI 96734-2408 | 2014-04-15 |
| 1194140251 | Care Hawaii, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1668 Hoohulu St, Pearl City, HI 96782-1805 | 2014-02-26 |
| 1467877522 | Care Hawaii, Inc. | Community Based Residential Treatment Facility, Mental Illness | 98-839 Kaamilo St, Aiea, HI 96701-3446 | 2014-02-26 |
| 1932524568 | Poilani, Inc | Community Based Residential Treatment Facility, Mental Illness | 74 Kihapai St, Kailua, HI 96734-2612 | 2014-02-18 |
| 1144659020 | Nova Luna, Inc. | Community Based Residential Treatment Facility, Mental Illness | 470 Lilihua Pl, Wailuku, HI 96793-1313 | 2013-11-01 |
| 1518225531 | Small Kine Polynesian | Community Based Residential Treatment Facility, Mental Illness | 55-025 Lanihuli St, Laie, HI 96762-1225 | 2012-04-27 |
| 1598057275 | Po'ailani, Inc. | Community Based Residential Treatment Facility, Mental Illness | 970 N Kalaheo Ave Ste A102, Kailua, HI 96734-1868 | 2011-05-12 |
| 1871797381 | Marimed Foundation for Island Health Care Training | Community Based Residential Treatment Facility, Mental Illness | 45-021 Likeke Pl, Kaneohe, HI 96744-2426 | 2007-06-11 |
| 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.