CHANTHAVILAY PHANTHANOUVONG (NPI# 1366716177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366716177 |
| Entity Type | Individual |
| Full Name | CHANTHAVILAY PHANTHANOUVONG |
| Practice Address |
1314 S King St Honolulu HI 96814-1956 |
| Mailing Address |
47-505 Alawiki St Kaneohe HI 96744-4684 |
| Practice Telephone | 8085417209 |
| Mailing Telephone | 8085417209 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
1314 S KING ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126972 | Gary Weisman | Social Worker | 1314 S King St, #603, Honolulu, HI 96814-1956 | 2005-07-07 |
| 1164034138 | Mastercare Inc | In Home Supportive Care | 1314 S King St, Honolulu, HI 96814-1956 | 2020-08-20 |
| 1215463682 | National Kidney Foundation of Hawaii | Dietitian, Registered | 1314 S King St, Suite 1555, Honolulu, HI 96814-1956 | 2017-05-04 |
| 1972041507 | Rebecca Sue Roberts | Dietitian, Registered | 1314 S King St, Suite 1555, Honolulu, HI 96814-1956 | 2017-02-02 |
| 1760841746 | Apex Physical Therapy Specialists | Physical Therapist | 1314 S King St, #1451, Honolulu, HI 96814-1956 | 2016-02-18 |
| 1184093254 | Mastercare Inc | Home Health | 1314 S King St, Suite 424, Honolulu, HI 96814-1956 | 2015-09-18 |
| 1639565104 | Jeanine Wong | Marriage & Family Therapist | 1314 S King St, Honolulu, HI 96814-1956 | 2015-04-12 |
| 1497148019 | Ohana Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1314 S King St, Honolulu, HI 96814-1956 | 2015-03-06 |
| 1275959504 | Apex Hawaii Therapy Inc | Physical Therapist | 1314 S King St, #1451, Honolulu, HI 96814-1956 | 2014-03-11 |
| 1437589793 | Richway & Fuji Bio Inc. | Durable Medical Equipment & Medical Supplies | 1314 S King St, Suite 520, Honolulu, HI 96814-1956 | 2013-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932550951 | Emilio Domingo Jr. | Contractor | 948 Winant St, Honolulu, HI 96817-4267 | 2016-06-30 |
| 1790130581 | Sung Choe | Contractor | 1320a Palolo Ave, Honolulu, HI 96816-6213 | 2016-04-28 |
| 1619343142 | State of Hawaii Executive Office On Aging | Contractor | 250 S Hotel St, 406, Honolulu, HI 96813-2831 | 2015-08-19 |
| 1134567019 | Danica Cui-dela Cueva | Contractor | 2875 S King St Ste 205, Honolulu, HI 96826-3564 | 2013-06-12 |
| 1255629853 | Janice Sippel | Contractor | 911 Koko Head Ave, Honolulu, HI 96816-2309 | 2011-07-16 |
| 1588899298 | Mati Sapolu | Contractor | 1019 University Ave, Suite T02, Honolulu, HI 96826-1509 | 2009-05-26 |
| 1912177957 | Lyonsmassage&bodywork | Contractor | 427 Nahua St, Honolulu, HI 96815-2949 | 2008-03-05 |
| 1124297080 | Aniceta A. Sims | Contractor | 1720 Ala Moana Blvd Apt H202, Honolulu, HI 96815-1360 | 2008-02-25 |
| 1598743429 | Nuzhat Bokhari | Contractor | 1717 Ala Wai Blvd, Honolulu, HI 96815-1541 | 2005-12-30 |
| 1316489073 | Deborah Lynne Wilson | Contractor | 932 Ward Ave Fl 6, Honolulu, HI 96814-2131 | 2016-11-12 |
| Find all providers in HONOLULU | ||||
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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.