STATE OF HAWAII DEPARTMENT OF HEALTH (NPI# 1942483839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942483839 |
| Entity Type | Organization |
| Organization Name | STATE OF HAWAII DEPARTMENT OF HEALTH |
| Other Organization Name | MAUI COMMUNITY MENTAL HEALTH CENTER - LANAI CLINIC |
| Practice Address |
730 Lanai Ave Suite 6 Lanai City HI 96763 |
| Mailing Address |
1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 |
| Practice Telephone | 8089842150 |
| Practice Fax Number | 8089842155 |
| Mailing Telephone | 8085907320 |
| Mailing Fax Number | 8085864745 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-06-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 53937206 | 05 |
| Other Name | Type Code |
|---|---|
| Maui Community Mental Health Center - Lanai Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770747131 | State of Hawaii Department of Health | Community/Behavioral Health | 84-1170 Farrington Hwy, Waianae, HI 96792-2060 | 2008-07-15 |
| 1194908087 | State of Hawaii Department of Health | Community/Behavioral Health | 65 Makaena St, Suite 107, Kaunakakai, HI 96748 | 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 |
730 LANAI AVE SUITE 6 |
| City | LANAI CITY |
| State | HI |
| Zip Code | 96763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396081 | Juvy Rivad Alconcel | Massage Therapist | 1382 Lanai Avenue, 1382 Lanai Avenue, Lanai City, HI 96763 | 2020-11-04 |
| 1134726029 | Lanai Kinaole Inc | In Home Supportive Care | 617 Ilima Ave, Lanai City, HI 96763 | 2020-10-05 |
| 1962060020 | Lanai Kinaole Inc | Home Health | 617 Ilima Avenue, Lanai City, HI 96763 | 2019-06-04 |
| 1699244509 | Jon Joseph Cisneros | Psychologist | 333 Sixth St, Lanai City, HI 96763 | 2018-11-20 |
| 1922589316 | Venture Physical Therapy LLC | Physical Therapist | 628 Ilima Ave, Lanai City, HI 96763 | 2018-08-24 |
| 1154843746 | Michele Ann Evangelista | Massage Therapist | 1270 Olapa Street, Lanai City, HI 96763 | 2017-07-14 |
| 1558722678 | Karen Brown | Specialist | 436 Iliahi St, Lanai City, HI 96763 | 2016-03-17 |
| 1588050983 | Rainbow Pharmacy, LLC | Pharmacy | 431 Seventh St, Lanai City, HI 96763 | 2015-04-13 |
| 1578951612 | Jamie Kamailani Boyd | Registered Nurse | 832 Kiele Street, Lanai City, HI 96763 | 2014-12-23 |
| 1801208178 | Hawaii Dental Clinic Lanai | Dentist | 730 Lanai Avenue #101, Lanai City, HI 96763 | 2014-05-21 |
| Find all providers in zip 96763 | ||||
| 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 |
|---|---|---|---|---|
| 1255609202 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 555 Fraser Ave, Maui-fgc-lanai, Lanai City, HI 96763 | 2011-12-06 |
| 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 |
| 1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LANAI CITY |
| Zip Code | 96763 |
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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.