TRADEWINDS AT THE PONDS, LLC (NPI# 1497987879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497987879 |
| Entity Type | Organization |
| Organization Name | TRADEWINDS AT THE PONDS, LLC |
| Other Organization Name | THE PONDS AT PUNALU'U |
| Practice Address |
53-594 Kamehameha Hwy Hauula HI 96717-9648 |
| Practice Telephone | 8082931100 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | MR. KENNETH L ROBERTSON (MANAGER) |
| Authorized Official Telephone | 5035806925 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | STATE OF HAWAII | W94691789-01 | 01 |
| Other Name | Type Code |
|---|---|
| The Ponds at Punalu'u | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | TRADEWINDS AT THE PONDS, LLC | 3368 Championship Dr S, Salem, OR 97302 |
| Street Address |
53-594 KAMEHAMEHA HWY |
| City | HAUULA |
| State | HI |
| Zip Code | 96717-9648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538253000 | Kimberly Roper Pennington | Physical Therapist | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2006-10-02 |
| 1780134346 | Dignity Senior Living, Ltd. | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2016-10-07 |
| 1639545528 | Christopher Dubuque | Internal Medicine | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2015-08-14 |
| 1063819191 | Steven Ito | Nurse Practitioner | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2014-12-04 |
| 1144631581 | Oceanside At Punaluu, LLC | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2014-05-19 |
| 1336315068 | Oahu Senior Living, LLC | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453602 | Jbishop, LLC | Behavior Technician | 53-378 Kamehameha Hwy. Apt V, Hauula, HI 96717 | 2020-07-01 |
| 1770046674 | Neil O Annandale | Psychologist | 54-242b Honomu Street, Hauula, HI 96717 | 2019-04-09 |
| 1902358641 | Hollie Renee Seward | Nurse Practitioner | 54-316 Kamehameha Hwy Ste 6, Hauula, HI 96717 | 2016-10-28 |
| 1720377534 | Brighton Rehabilitation LLC | Occupational Therapist | 53-394 Kamehameha Hwy, Hauula, HI 96717 | 2011-04-01 |
| 1851561542 | Efren D Baria Md Inc | Anesthesiology | 54-288 Kawaipuna Place, Hauula, HI 96717 | 2008-03-10 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1063833655 | Ko'olauloa Health Center | Clinic/Center | 54-316 Kamehameha Hwy, Hauula, HI 96717 | 2013-12-27 |
| 1063694594 | Frank J Macali | Physician Assistant | 54-014 Kukuna St Apt B, Hauula, HI 96717-8611 | 2007-11-27 |
| 1407268899 | Brandi K.c. Crawford | Social Worker | 54-137 Kawaipuna St, Hauula, HI 96717-9511 | 2014-05-20 |
| 1871649178 | Rachel Harue Bingue | Nurse Practitioner | 54-237 Kamehameha Hwy, Hauula, HI 96717-9522 | 2007-01-27 |
| Find all providers in zip 96717 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780134346 | Dignity Senior Living, Ltd. | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2016-10-07 |
| 1144631581 | Oceanside At Punaluu, LLC | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2014-05-19 |
| 1336315068 | Oahu Senior Living, LLC | Assisted Living Facility | 53-594 Kamehameha Hwy, Hauula, HI 96717-9648 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497254775 | Huapala Senior Care A, LLC | Assisted Living Facility | 2649a Huapala St, Honolulu, HI 96822-1653 | 2018-02-01 |
| 1134433477 | Mateo Lorenzo Lopez | Assisted Living Facility | 94-1007 Hiapo St, Waipahu, HI 96797-3709 | 2010-07-28 |
| 1013221357 | Adora Harada | Assisted Living Facility | 2818 Koaniani Way, Honolulu, HI 96822-1828 | 2010-07-28 |
| 1316267842 | Arnolfa Ugot | Assisted Living Facility | 91-1146 Kaunolu St, Ewa Beach, HI 96706-2868 | 2010-06-07 |
| 1164754370 | Merlina T Pacba | Assisted Living Facility | 94-456 Awamoi St, Waipahu, HI 96797-1608 | 2010-02-12 |
| 1326376203 | Roberto F. Sanchez | Assisted Living Facility | 91-945 Ololani St, Ewa Beach, HI 96706-2223 | 2009-12-03 |
| 1912136193 | Mildred Bumanglag | Assisted Living Facility | 94-1273 Peke Pl, Waipahu, HI 96797-3607 | 2009-07-08 |
| 1750524542 | Felomina M Dinong | Assisted Living Facility | 91-1026 Kalapu St, Ewa Beach, HI 96706-2214 | 2009-04-09 |
| 1013196344 | Mbsb Hualalai, LLC | Assisted Living Facility | 75-181 Hualalai Rd, Kailua Kona, HI 96740-1787 | 2007-11-02 |
| 1083605836 | Life Care Services of Hawaii LLC | Assisted Living Facility | 1314 Kalakaua Ave, Second Floor, Honolulu, HI 96826-1908 | 2005-11-01 |
| 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.