OFFICE OF SAMOAN AFFAIRS OF CALIFORNIA (NPI# 1801273420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801273420 |
| Entity Type | Organization |
| Organization Name | OFFICE OF SAMOAN AFFAIRS OF CALIFORNIA |
| Other Organization Name | GRACE HOMCE CARE |
| Practice Address |
998399 Ottoville Tafuna Pago Pago AMERICAN SAMOA 96799 UM |
| Mailing Address |
20715 Avalon Blvd Ste 200 Carson CA 90746-3319 |
| Practice Telephone | 6846998091 |
| Mailing Telephone | 3105380555 |
| Mailing Fax Number | 3105381960 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | MRS. JUNE V POUESI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3105380555 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Grace Homce Care | Doing Business As Name - Organization |
| Street Address |
998399 OTTOVILLE TAFUNA |
| City | PAGO PAGO |
| State | AMERICAN SAMOA |
| Zip Code | 96799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508121476 | June V Pouesi | Case Manager/Care Coordinator | 998399 Ottoville Tafuna, Pago Pago, AMERICAN SAMOA 96799 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372557 | Josephine S Bernhardt | Registered Nurse | 5799 Tafuna Village, Pago Pago, AS 96799 | 2020-10-05 |
| 1902450844 | Mirella Mendoza Chipongian | Obstetrics & Gynecology | 3965 Tafuna, Pago Pago, AS- AMERICAN SAMOA 96799 | 2019-07-29 |
| 1366915100 | Angels Crossing Hospice and Home Health | Surgery | 998074. Tafuna Vi., Pago Pago, AS 96799 | 2019-01-04 |
| 1780199190 | Star Supply | Durable Medical Equipment & Medical Supplies | 3505 Tafuna Rd, Pago Pago, AS 96799 | 2017-12-07 |
| 1659807238 | Joseph Lescano - Medquest Medical Supply | Prosthetic/Orthotic Supplier | 4445 Matu'u Road, Pago Pago, AS 96799 | 2017-05-03 |
| 1992252548 | Tele Hill | Nurse Practitioner | 1 Petesa Rd, Pago Pago, AS 96799 | 2016-09-01 |
| 1841651783 | Emily Lin | Pharmacist | 1234 Turner Rd, Pago Pago, AS 96799 | 2016-03-18 |
| 1144681792 | Saipale Fuimaono | Preventive Medicine | 3965 Tafuna St, Tafuna Health Center, Pago Pago, AS 96799 | 2016-03-10 |
| 1821455981 | Jenco Medical Incorporated Dba Samoa Prosthetics Orthotics Company | Durable Medical Equipment & Medical Supplies | 5958 Litani Sq, Nuu'uli Village, Pago Pago, AS 96799 | 2016-01-20 |
| 1053787143 | Kima Faasalele | Midwife | Procurement Road, Tafuna Family Health Center, Tafuna, AS 96799 | 2015-08-12 |
| Find all providers in zip 96799 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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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.