MRS. LUZVELINDA M WILSON (NPI# 1316489552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316489552 |
| Entity Type | Individual |
| Full Name | MRS. LUZVELINDA M WILSON |
| Practice Address |
91-992 Papapuhi Pl Ewa Beach HI 96706-4722 |
| Practice Telephone | 8083939301 |
| Practice Fax Number | 8889584492 |
| Mailing Telephone | 8083939301 |
| Mailing Fax Number | 8889584492 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 1-160072 | HI | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | CCFFH LICENSE NUMBER | 1-160072 | 01 |
| Street Address |
91-992 PAPAPUHI PL |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265988513 | Jackielyn Bautista | Nursing Home Administrator | 91-843 Hanakahi St, Ewa Beach, HI 96706 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558914747 | Rowena Dumot Young | Nursing Home Administrator | 87-162 Manuoioi Pl, Waianae, HI 96792-3232 | 2019-07-17 |
| 1467004135 | Evelyn Ramelb | Nursing Home Administrator | 16-1508 35th Ave, Keaau, HI 96749 | 2019-07-12 |
| 1649836339 | Marites Caluntad Quedding | Nursing Home Administrator | 286 S Puunene Ave, Kahului, HI 96732-2401 | 2019-05-17 |
| 1184149270 | Teri K.k. Savaiinaea | Nursing Home Administrator | 875 Waimanu Suite 612, Honolulu, HI 96813-5248 | 2017-08-09 |
| 1033669940 | Vanessa Mae Muyco | Nursing Home Administrator | 94-564 Kupuna Loop, Waipahu, HI 96797-1242 | 2016-10-04 |
| 1801213178 | Stacey Okano | Nursing Home Administrator | 16-1397 Ole Pohaku 35th Place, Keaau, HI 96749 | 2014-03-25 |
| 1487903225 | Rizalie A Mcintosh | Nursing Home Administrator | 87-185 Mikana St # B, Waianae, HI 96792-3728 | 2012-09-07 |
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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.