KAUKILA PONO (NPI# 1275949703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275949703 |
| Entity Type | Organization |
| Organization Name | KAUKILA PONO |
| Practice Address |
5806 Lokelani Rd Kapaa HI 96746-9758 |
| Mailing Address |
3-2600 Kaumualii Hwy Suite 1300 Pmb 477 Lihue HI 96766-2040 |
| Practice Telephone | 8086354570 |
| Mailing Telephone | 8086354570 |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-04 |
| Authorized Official Name | MS. PATRICIA COON (DIRECTOR) |
| Authorized Official Telephone | 8086354570 |
| Authorized Official Credential | RN BSHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | 35316 | HI | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 35316 | HI | Agencies |
| Street Address |
5806 LOKELANI RD |
| City | KAPAA |
| State | HI |
| Zip Code | 96746-9758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346806932 | Patricia Sarah Coon | Registered Nurse | 5806 Lokelani Rd, Kapaa, HI 96746-9758 | 2019-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269965 | Joshua Ley | Physical Therapist | 5633 Kawaihau Road, Bldg 2a-12, Kapaa, HI 96746 | 2020-09-11 |
| 1740833896 | Aida Rivada Mendoza | Community Health Worker | Kapaa Waiver Program Service Center, 4800 Kawaihau Road #f, Kapaa, HI 96746 | 2019-07-18 |
| 1154892511 | Katherine O'donnell | Physical Therapist | 5633 Kawaihu Road, Bldg 2a-12, Kapaa, HI 96746 | 2018-12-11 |
| 1447734371 | Mehrnaz Motazedian | Behavioral Analyst | 5519 Kula Mauu, Kapaa, HI 96746 | 2018-09-17 |
| 1942713011 | Briana Marie Uribe | Behavioral Analyst | 3-312 Kuhio Hwy, Lihue, HI 96746 | 2017-11-13 |
| 1639692361 | Garden Isle Caregivers | Foster Care Agency | 5362 Olopua St, Kapaa, HI 96746 | 2017-07-25 |
| 1598122723 | Catherine Clement | Counselor | 1435 Kuhio Hwy. Suite 206, Kapaa, HI 96746 | 2016-01-19 |
| 1598120735 | Makana Mardonada | Social Worker | 5839 Waipouli Rd, Kapaa, HI 96746 | 2015-12-15 |
| 1740526938 | Kauai In-home Therapy LLC | Clinic/Center | 2-2514 Kaumualii Highway Ste. 205, Kalaheo, HI 96746 | 2012-12-17 |
| 1972877058 | Carole L. Duby | Massage Therapist | 365 Papaloa Rd, Kapa'a, HI 96746 | 2012-03-07 |
| Find all providers in zip 96746 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789751 | Metropacific Group, Corp | In Home Supportive Care | 737 Lower Main St Ste C2, Wailuku, HI 96793-1400 | 2020-10-28 |
| 1063011195 | Americare Hawaii Incorporated | In Home Supportive Care | 260 Kamehameha Ave Ste 210, Hilo, HI 96720-2859 | 2020-10-20 |
| 1972102010 | Americare Hawaii Inc | In Home Supportive Care | 99-149 Moanalua Rd Ste 204, Aiea, HI 96701-4001 | 2020-10-20 |
| 1134726029 | Lanai Kinaole Inc | In Home Supportive Care | 617 Ilima Ave, Lanai City, HI 96763 | 2020-10-05 |
| 1467069948 | The Caregivers LLC | In Home Supportive Care | 91-513 Kakaha St, Ewa Beach, HI 96706-6560 | 2020-09-28 |
| 1063022606 | Safe Harbor Homecare Inc | In Home Supportive Care | 450 Kamehameha Hwy Ste 3, Pearl City, HI 96782-3215 | 2020-08-07 |
| 1871128397 | Executives Group Dba Divine Touch Home Care Sevices | In Home Supportive Care | 91-1077 Kanela St, Ewa Beach, HI 96706-5957 | 2020-03-04 |
| 1831738327 | Ace 1 LLC | In Home Supportive Care | 101 Aupuni St Ste 225, Hilo, HI 96720-4261 | 2019-12-31 |
| 1528605193 | Bayada Home Care | In Home Supportive Care | 2200 Main St Ste 650, Wailuku, HI 96793-1644 | 2019-12-03 |
| 1891338893 | V's Home Care & Cleaning | In Home Supportive Care | 248 Kalihi St Apt 2, Honolulu, HI 96819-3931 | 2019-10-22 |
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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.