COMPCARE, LLC (NPI# 1891324471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891324471 |
| Entity Type | Organization |
| Organization Name | COMPCARE, LLC |
| Practice Address |
94-997 Hanauna St 5f Waipahu HI 96797 |
| Mailing Address |
1130 Schwall Road Havana FL 32333 |
| Practice Telephone | 8506949864 |
| Practice Fax Number | 8502702452 |
| Mailing Telephone | 8506949864 |
| Enumeration Date | 2020-04-05 |
| Last Update Date | 2020-04-05 |
| Authorized Official Name | ORETHA DIANE JONES (OWNER/CEO/ARNP) |
| Authorized Official Telephone | 8506949864 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912200429 | Compcare, LLC | Specialist | 2102 Sw 20th Pl, Bldg 100, Ocala, FL 34471-0861 | 2010-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMPCARE, LLC | 1130 Schwall Rd, Havana, FL 32333-6162 |
| Colorado Business Entities | CompCare, LLC | 1228 42nd Avenue, Greeley, CO 80634 |
| Street Address |
94-997 HANAUNA ST 5F |
| City | WAIPAHU |
| State | HI |
| Zip Code | 96797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1457867681 | Kai Omo | Behavior Technician | 94-1221 Ka Uka Blvd, Unit 108, #167, Waipahu, HI 96797 | 2017-12-26 |
| Find all providers in zip 96797 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825292 | Hobbs Medical & Associates LLC | Clinic/Center | 94-216 Pupukahi St, Waipahu, HI 96797-2606 | 2020-09-14 |
| 1437675766 | Alquero Family Clinic | Clinic/Center | 94-141 Pupupuhi St, Waipahu, HI 96797-2510 | 2017-08-17 |
| 1982037651 | Alvin G. Vales M.d. Inc | Clinic/Center | 94-216 Farrington Hwy, Suite B2-208, Waipahu, HI 96797-1922 | 2013-08-16 |
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| 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.