PO'AILANI, INC. (NPI# 1598057275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598057275 |
| Entity Type | Organization |
| Organization Name | PO'AILANI, INC. |
| Practice Address |
970 N Kalaheo Ave Ste A102 Kailua HI 96734-1868 |
| Practice Telephone | 8082633500 |
| Practice Fax Number | 8082633508 |
| Mailing Telephone | 8082633500 |
| Mailing Fax Number | 8082633508 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | MRS. JANET R. PAREDES (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8082633500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 37 | HI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PO'AILANI, INC. | 45-567 Pahia Road Kaneohe, Kaneohe, HI 96744-3318 |
| Street Address |
970 N KALAHEO AVE STE A102 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609240035 | Corey Dillman | Nurse Practitioner | 970 N Kalaheo Ave Ste A102, Kailua, HI 96734-1868 | 2015-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| 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 |
|---|---|---|---|---|
| 1922427129 | Poailani, Inc | Community Based Residential Treatment Facility, Mental Illness | 553 Kawainui St, Kailua, HI 96734-2408 | 2014-04-15 |
| 1932524568 | Poilani, Inc | Community Based Residential Treatment Facility, Mental Illness | 74 Kihapai St, Kailua, HI 96734-2612 | 2014-02-18 |
| 1104297084 | Nani Lehua O Nalani Jenson | Community Based Residential Treatment Facility, Mental Illness | 42-470 Kalanianaole Hwy, Kailua, HI 96734 | 2015-10-16 |
| 1831518034 | Poailani, Inc | Community Based Residential Treatment Facility, Mental Illness | 74 Kihapai St, Kailua, HI 96734-2612 | 2014-04-15 |
| 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 |
| 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 |
| 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 |
| 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 |
| 1922151026 | Po Ailani | Community Based Residential Treatment Facility, Mental Illness | 45-567 Pahia Road, Kaneohe, HI 96744 | 2007-01-19 |
| 1154958395 | Kekuamakana C Lewis | Community Based Residential Treatment Facility, Mental Illness | 1786 Kinoole St, Hilo, HI 96720-5245 | 2020-03-26 |
| 1073149944 | Russell Mendez | Community Based Residential Treatment Facility, Mental Illness | 1786 Kinoole St, Hilo, HI 96720-5245 | 2020-03-23 |
| 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.