HALE MAKUA (NPI# 1790902120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790902120 |
| Entity Type | Organization |
| Organization Name | HALE MAKUA |
| Other Organization Name | HALE MAKUA - SUPPLIER |
| Practice Address |
472 Kaulana St Kahului HI 96732-2050 |
| Practice Telephone | 8088772761 |
| Practice Fax Number | 8088719262 |
| Mailing Telephone | 8088772761 |
| Mailing Fax Number | 8088719262 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | WESLEY LO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8088772761 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
HI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA ENTERALS | 00K0043634 | 01 |
| Other Name | Type Code |
|---|---|
| HALE MAKUA - SUPPLIER | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HALE MAKUA HEALTH SERVICES | 472 Kaulana St, Kahului, HI 96732-2050 |
| Street Address |
472 KAULANA ST |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-2050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604807 | Hale Makua Health Services | Clinic/Center | 472 Kaulana St, Kahului, HI 96732-2050 | 2005-07-21 |
| 1194295170 | Nicholas Alexander Atkinson | Registered Nurse | 472 Kaulana St, Kahului, HI 96732-2050 | 2018-12-03 |
| 1982141180 | Hale Makua Health Services | Internal Medicine | 472 Kaulana St, Kahului, HI 96732-2050 | 2017-01-25 |
| 1831631175 | Beth Marie Spence | Speech-Language Pathologist | 472 Kaulana St, Kahului, HI 96732-2050 | 2016-11-16 |
| 1497105464 | Iliana Jessica Goodman | Occupational Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2016-06-20 |
| 1124485065 | Rachel Fielder | Speech-Language Pathologist | 472 Kaulana St, Kahului, HI 96732-2050 | 2016-01-22 |
| 1366813743 | Candace Takai | Occupational Therapy Assistant | 472 Kaulana St, Kahului, HI 96732-2050 | 2015-10-12 |
| 1780079590 | Nina Alferio | Physical Therapy Assistant | 472 Kaulana St, Kahului, HI 96732-2050 | 2015-03-30 |
| 1871997031 | Carrie Rogers | Occupational Therapist | 472 Kaulana St, Kahului, HI 96732-2050 | 2014-10-17 |
| 1770990475 | Emma Strickland Pognant | Speech-Language Pathologist | 472 Kaulana St, Kahului, HI 96732-2050 | 2014-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529412 | G Corp Dba Maui Home Infusion | Durable Medical Equipment & Medical Supplies | 60 E Wakea Ave, Suite 116, Kahului, HI 96732-2466 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689806770 | Pacific Choice, LLC | Durable Medical Equipment & Medical Supplies | 94-408 Akoki St, Suite 205, Waipahu, HI 96797-2733 | 2009-08-22 |
| 1649256785 | Hawaii Home Infusion Associates | Durable Medical Equipment & Medical Supplies | 4490 Kolopa St, Suite B, Lihue, HI 96766-2027 | 2005-12-21 |
| 1194701243 | Total Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 740 Moowaa St Ste F, Honolulu, HI 96817-4428 | 2005-12-21 |
| 1609045673 | Wahiawa General Hospital | Durable Medical Equipment & Medical Supplies | 128 Lehua St, Wahiawa, HI 96786-2036 | 2008-02-25 |
| 1922281351 | Hawaii Medical Center West, LLC | Durable Medical Equipment & Medical Supplies | 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 | 2007-12-07 |
| 1750564183 | Hawaii Medical Center East, LLC | Durable Medical Equipment & Medical Supplies | 2230 Liliha St, Honolulu, HI 96817-1646 | 2007-12-07 |
| 1831288760 | St. Francis Medical Center | Durable Medical Equipment & Medical Supplies | 2230 Liliha St, Honolulu, HI 96817-1646 | 2006-10-11 |
| 1083622989 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 3375 Koapaka St, Suite H-425, Honolulu, HI 96819-1800 | 2006-08-04 |
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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.