MR. JEFFREY JAMES BAUMANN (NPI# 1740629310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740629310 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY JAMES BAUMANN |
| Credential | MA |
| Practice Address |
56-660 Kamehameha Hwy Kahuku HI 96731-2210 |
| Mailing Address |
53-017 Pokiwai Pl Hauula HI 96717-9728 |
| Practice Telephone | 2314596177 |
| Mailing Telephone | 2314596177 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | HI | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897848 | Jeffrey Walter Baumann | Family Medicine | 10452 Mississippi Blvd Nw, Coon Rapids, MN 55433-4523 | 2006-05-12 |
| 1841293974 | Jeffrey D Baumann | Ophthalmology | 17560 Highway 441, Mount Dora, FL 32757-6711 | 2005-05-23 |
| Street Address |
56-660 KAMEHAMEHA HWY |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306904461 | Bobby Benson Center | Substance Abuse Rehabilitation Facility | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2006-12-04 |
| 1679171078 | Tiffany Kristine Gougeon | Registered Nurse | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-10-16 |
| 1033717665 | Luseane Latu | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-10-15 |
| 1114544145 | Melita Maramanisiga Matanatabu | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-25 |
| 1417573478 | Soli K.m. Afalava | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-24 |
| 1942826391 | Josevata Dredre Damuni | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-22 |
| 1013533389 | Sione Ford Naeata | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-22 |
| 1710503263 | Isabella Dearaujo | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-21 |
| 1194341990 | John Labarre Moleni | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-18 |
| 1316563265 | Kolokesa Piutau | Counselor | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
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| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194054296 | Morris Angus Graham | Substance Abuse Rehabilitation Facility | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413097 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1188 Bishop St Ste 1008, Honolulu, HI 96813-3304 | 2020-10-03 |
| 1215474317 | New Leaf Treatment Centre LLC | Substance Abuse Rehabilitation Facility | 152 Lakeview Circle, Wahiawa, HI 96786 | 2017-01-26 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1699065599 | The Scott Recovery Retreat | Substance Abuse Rehabilitation Facility | 4030 Pali Moana Place, Kilauea, HI 96754 | 2011-04-12 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1578689816 | Kline-welsh Behavioral Health Fondation | Substance Abuse Rehabilitation Facility | 1240 Sand Island Pkwy, Honolulu, HI 96819-4315 | 2007-03-21 |
| 1194883553 | Ho'omau Ke Ola | Substance Abuse Rehabilitation Facility | 85-761 Farrington Hwy, Waianae, HI 96792-2463 | 2006-12-05 |
| 1740358118 | The Alcoholic Rehabilitation Services of Hawaii Inc | Substance Abuse Rehabilitation Facility | 45-845 Pookela St, Kaneohe, HI 96744-5700 | 2006-12-01 |
| 1871660902 | Salvation Army Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 3624 Waokanaka St, Honolulu, HI 96817-5224 | 2006-11-30 |
| 1457642076 | Aloha House | Substance Abuse Rehabilitation Facility | 200 Ike Dr, Makawao, HI 96768-9718 | 2011-04-29 |
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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.