FAMILY SUPPORT SERVICES OF WEST HAWAII (NPI# 1649687120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649687120 |
| Entity Type | Organization |
| Organization Name | FAMILY SUPPORT SERVICES OF WEST HAWAII |
| Practice Address |
75-127 Lunapule Rd Ste 11 Kailua Kona HI 96740-2119 |
| Practice Telephone | 8083344115 |
| Practice Fax Number | 8083264063 |
| Mailing Telephone | 8083344115 |
| Mailing Fax Number | 8083264063 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | RAY WOFFORD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8083344115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 64642402 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SUPPORT SERVICES OF WEST HAWAII | 75-127 Lunapule Rd Ste 11, Kailua Kona, HI 96740-2119 |
| Street Address |
75-127 LUNAPULE RD STE 11 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069183 | Margaret Fitzgerald | Occupational Therapist | 75-127 Lunapule Rd Ste 11, Kailua Kona, HI 96740-2119 | 2015-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023127750 | Rehabilitation Hospital of The Pacific | Clinic/Center | 75-1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326692724 | Ion Wellness LLC | Clinic/Center | 91-902 Fort Weaver Rd Ste P204, Ewa Beach, HI 96706-2261 | 2019-07-25 |
| 1710465042 | Advanced Massage West Oahu Inc. | Clinic/Center | 91-2047 Kaioli St Apt 2602, Ewa Beach, HI 96706-6159 | 2018-07-30 |
| 1235418922 | Kauai In-home Therapy Plus | Clinic/Center | 401 Papaloa Rd Apt 205, Kapaa, HI 96746-1426 | 2011-08-11 |
| 1356673727 | Speech Pathology of Hawaii | Clinic/Center | 725 Kapiolani Blvd Ste 311, Honolulu, HI 96813-6015 | 2010-02-09 |
| 1174632897 | Rehabilitation Hospital of The Pacific | Clinic/Center | 76 Puuhonu Pl, Hilo, HI 96720-2001 | 2006-08-29 |
| 1114036894 | Rehabilitation Hospital of The Pacific | Clinic/Center | 221 Piikea Ave, Suite D, Kihei, HI 96753-8268 | 2006-08-29 |
| 1518935162 | Hawaiian Rehabilitation Services Inc | Clinic/Center | 75-165 Hualalai Rd, Kailua-kona, HI 96740-1742 | 2006-03-09 |
| 1275891483 | University Clinical Education & Research Associates | Clinic/Center | 347 N Kuakini St, Honolulu, HI 96817-2336 | 2012-04-25 |
| 1437425014 | Ka Punawai Ola | Clinic/Center | 575 Farrington Hwy, Kapolei, HI 96707 | 2012-03-28 |
| 1265676712 | Hawaii Hand & Rehabilitation Services LLC | Clinic/Center | 1401 S Beretania St Ste 730, Honolulu, HI 96814-1881 | 2009-04-28 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on FAMILY SUPPORT SERVICES OF WEST HAWAII.
| 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.