STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1770747131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770747131 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | MAKAHA MENTAL HEALTH CLINIC |
| Practice Address |
84-1170 Farrington Hwy Waianae HI 96792-2060 |
| Mailing Address |
Po Box 3378 Honolulu HI 96801-3378 |
| Practice Telephone | 8087210745 |
| Mailing Telephone | 8085907320 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | RAQUEL B NAKAHARA (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Telephone | 8085907320 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Makaha Mental Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 2007-12-13 |
| 1942483839 | State of Hawaii Department of Health | Community/Behavioral Health | 730 Lanai Ave, Suite 6, Lanai City, HI 96763 | 2007-12-13 |
| 1174706063 | State of Hawaii Department of Health | Community/Behavioral Health | 219 B Kaaliki Road, Naalehu, HI 96772 | 2007-12-13 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1891978789 | State of Hawaii Department of Health | Community/Behavioral Health | 67-5189 Kamamalu St, Kamuela, HI 96743 | 2007-12-13 |
| 1346423233 | State of Hawaii Department of Health | Community/Behavioral Health | 3-3212 Kuhio Highway, Lihue, HI 96766 | 2007-12-13 |
| 1104009091 | State of Hawaii Department of Health | Community/Behavioral Health | 1830 Hooapiilani Highway, Lahaina, HI 96761 | 2007-12-13 |
| 1083897979 | State of Hawaii Department of Health | Community/Behavioral Health | 15-2866 Govt. Road Pahoa Town Center, Bldg. E, Pahoa, HI 96778 | 2007-12-13 |
| 1710263504 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| 1356627145 | State of Hawaii Department of Health | Community/Behavioral Health | 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 | 2011-10-25 |
| Street Address |
84-1170 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407271554 | Breaking Boundaries Recovery Services | Case Management | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2014-02-26 |
| 1245461581 | Breaking Boundaries | Community Based Residential Treatment Facility, Mental Illness | 84-1170 Farrington Hwy, A2-bfa, Waianae, HI 96792-2060 | 2009-08-04 |
| 1700038155 | Makaha Clubhouse | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-10-16 |
| 1306096110 | Charlotte Vowell | Registered Nurse | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1720238520 | Howard Leslie | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1356591168 | Donna Oshiro | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| 1164672978 | Leonard Rhodes | Social Worker | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 1619106713 | Recovery In Paradise, LLC | Community/Behavioral Health | 87-107 Kaleiwohi St, Waianae, HI 96792-3681 | 2009-07-09 |
| 1952527004 | Steps for Inedependence, Inc. | Community/Behavioral Health | 86-3005 Leihua Pl, Waianae, HI 96792-2953 | 2007-04-17 |
| 1063557700 | Hope In The Name of Christ | Community/Behavioral Health | 87-669 Manuaihue St, Waianae, HI 96792-3268 | 2007-02-20 |
| 1700038155 | Makaha Clubhouse | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
| 1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
| 1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
| 1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
| 1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
| 1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
| 1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
| 1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
| 1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
| 1245731173 | Bayada Home Care | Community/Behavioral Health | 1001 Kamokila Blvd Ste 206, Kapolei, HI 96707-2096 | 2018-02-26 |
| 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.