PACIFIC CHOICE, LLC (NPI# 1689806770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689806770 |
| Entity Type | Organization |
| Organization Name | PACIFIC CHOICE, LLC |
| Practice Address |
94-408 Akoki St Suite 205 Waipahu HI 96797-2733 |
| Practice Telephone | 8086783668 |
| Practice Fax Number | 8086783669 |
| Mailing Telephone | 8086783668 |
| Mailing Fax Number | 8086783669 |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2010-10-12 |
| Authorized Official Name | MRS. SARAH M SUZUKI (MANAGING PARTNER) |
| Authorized Official Telephone | 8086783668 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 1689806770 | 05 | |
| HI | 514065 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338371 | Pacific Choice, LLC | Durable Medical Equipment & Medical Supplies | 688 Kinoole Street, Suite 101, Hilo, HI 96720 | 2010-10-20 |
| Street Address |
94-408 AKOKI ST SUITE 205 |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114469889 | Kathryn T Werneke | Early Intervention Provider Agency | 94-408 Akoki St, Suite 202, Waipahu, HI 96797-2733 | 2016-11-13 |
| 1891136032 | Mary Tang | Social Worker | 94-408 Akoki St, Suite 202, Waipahu, HI 96797-2733 | 2013-07-16 |
| 1669725016 | Christopher Pelayo | Social Worker | 94-408 Akoki St, Ste. 202, Waipahu, HI 96797-2733 | 2012-10-23 |
| 1184972796 | Joyce Freda Juang | Speech-Language Pathologist | 94-408 Akoki St, Suite 202, Waipahu, HI 96797-2733 | 2012-08-29 |
| 1558630418 | Parent Child Development Center Waipahu | Early Intervention Provider Agency | 94-408 Akoki St, 202, Waipahu, HI 96797-2733 | 2011-12-22 |
| 1164790135 | Christy Gray | Early Intervention Provider Agency | 94-408 Akoki St, 202, Waipahu, HI 96797-2733 | 2011-12-06 |
| 1255608303 | Parent Child Development Center Waipahu | Early Intervention Provider Agency | 94-408 Akoki St, 202, Waipahu, HI 96797-2733 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1205478625 | Jason Lee Riessland | Licensed Practical Nurse | 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 | 2019-10-17 |
| 1942858246 | James Jiro Horie | Technician | 94-732 Kuhaulua Pl., Waipahu, HI 96797 | 2019-08-29 |
| 1154987014 | Joy Anne Ramos Mendoza | Registered Nurse | 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 | 2019-05-16 |
| 1902382336 | Enm Transportation LLC | Non-emergency Medical Transport (VAN) | 94-144 Kaaholo Place, Walpahu, HI 96797 | 2018-07-18 |
| 1104328418 | Leia Reynolds | Behavior Technician | 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 | 2018-03-02 |
| 1760980056 | Janice Martineau | Pharmacist | 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 | 2018-02-01 |
| 1184131229 | Kathleen Balallo | Behavior Technician | 94-513 Hiahia Loop, Waipahu, HI 96797 | 2018-01-10 |
| 1922515824 | Bryan Spare | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 | 2018-01-02 |
| 1174039390 | Yiana Burton | Behavior Technician | 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654953 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 94-809 Lumiaina St, Waipahu, HI 96797-5025 | 2019-08-15 |
| 1407325210 | Bmn Enterprise LLC | Durable Medical Equipment & Medical Supplies | 94-050 Farrington Hwy Ste B1-3a, Waipahu, HI 96797-1841 | 2018-11-21 |
| 1790148302 | Bao Khang Ngo | Durable Medical Equipment & Medical Supplies | 94-050 Farrington Hwy Unit B1-3a, Waipahu, HI 96797-1841 | 2016-03-31 |
| 1841538691 | Dme Hawaii Corporation | Durable Medical Equipment & Medical Supplies | 94-245 Leoku St, # 97048, Waipahu, HI 96797-7000 | 2013-01-28 |
| 1851649834 | Ec Home Aid Supply LLC | Durable Medical Equipment & Medical Supplies | 94-216 Farrington Hwy Ste B2-202a, Waipahu, HI 96797-1922 | 2012-08-22 |
| 1275830069 | 3 Sisters Incontinent Supplies | Durable Medical Equipment & Medical Supplies | 94-109 Poluhi Way, Waipahu, HI 96797-5806 | 2011-02-14 |
| 1497086169 | Tbp International LLC. | Durable Medical Equipment & Medical Supplies | 94-446 Alapine Street, Waipahu, HI 96797 | 2010-01-20 |
| 1215177910 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 94-223 Farrington Hwy, Waipahu, HI 96797-2254 | 2009-02-20 |
| 1942452388 | Sean Vincent Cortado | Durable Medical Equipment & Medical Supplies | 94-260 Waipahu Depot St, Waipahu, HI 96797-3009 | 2008-10-16 |
| 1437358926 | Longs Drug Stores California, Inc. | Durable Medical Equipment & Medical Supplies | 94-060 Farrington Hwy, Waipahu, HI 96797-1840 | 2007-07-13 |
| Find all providers in WAIPAHU | ||||
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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.