BENCHMARK BEHAVIORAL HEALTH (NPI# 1346476942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346476942 |
| Entity Type | Organization |
| Organization Name | BENCHMARK BEHAVIORAL HEALTH |
| Practice Address |
2501 Waimano Home Rd Pearl City HI 96782-1478 |
| Mailing Address |
2501 Waimano Home Rd P. O. Box 1196 Pearl City HI 96782-1478 |
| Practice Telephone | 8084541411 |
| Mailing Telephone | 8084541411 |
| Mailing Fax Number | 8084540659 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | STEPHEN BLOTZKE (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 8084541411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BENCHMARK BEHAVIORAL HEALTH | 705 W 7th Ave, Spokane, WA 99204 |
| Street Address |
2501 WAIMANO HOME RD |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844603 | Jennyl Hernandez | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2008-09-29 |
| 1568079309 | Wallace Hood | Registered Nurse | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2020-09-25 |
| 1457967036 | Jenalyn Ramos | Registered Nurse | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2020-09-19 |
| 1154979946 | Michael Keith Williams | Registered Nurse | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2019-08-27 |
| 1891348595 | Randolph Bonganciso Ares | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2019-07-22 |
| 1881129740 | Tiffany Kominski | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2017-04-27 |
| 1720349640 | Crystal Mccormick | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2012-06-06 |
| 1316218647 | Tiana Lei | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2012-01-18 |
| 1891066114 | Deann Akau-himalaya | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2012-01-18 |
| 1194001578 | Henson Kaufusi | Counselor | 2501 Waimano Home Rd, Pearl City, HI 96782-1478 | 2011-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194140251 | Care Hawaii, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1668 Hoohulu St, Pearl City, HI 96782-1805 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270551 | Stephanie Makino-kahuli | Community Based Residential Treatment Facility, Mental Illness | 1786 Kinoole St, Hilo, HI 96720-5245 | 2020-03-19 |
| 1073969036 | Armen Armaghanyan | Community Based Residential Treatment Facility, Mental Illness | 896 Kumukoa St, Hilo, HI 96720-4028 | 2016-05-09 |
| 1922427129 | Poailani, Inc | Community Based Residential Treatment Facility, Mental Illness | 553 Kawainui St, Kailua, HI 96734-2408 | 2014-04-15 |
| 1467877522 | Care Hawaii, Inc. | Community Based Residential Treatment Facility, Mental Illness | 98-839 Kaamilo St, Aiea, HI 96701-3446 | 2014-02-26 |
| 1932524568 | Poilani, Inc | Community Based Residential Treatment Facility, Mental Illness | 74 Kihapai St, Kailua, HI 96734-2612 | 2014-02-18 |
| 1144659020 | Nova Luna, Inc. | Community Based Residential Treatment Facility, Mental Illness | 470 Lilihua Pl, Wailuku, HI 96793-1313 | 2013-11-01 |
| 1518225531 | Small Kine Polynesian | Community Based Residential Treatment Facility, Mental Illness | 55-025 Lanihuli St, Laie, HI 96762-1225 | 2012-04-27 |
| 1598057275 | Po'ailani, Inc. | Community Based Residential Treatment Facility, Mental Illness | 970 N Kalaheo Ave Ste A102, Kailua, HI 96734-1868 | 2011-05-12 |
| 1871797381 | Marimed Foundation for Island Health Care Training | Community Based Residential Treatment Facility, Mental Illness | 45-021 Likeke Pl, Kaneohe, HI 96744-2426 | 2007-06-11 |
| 1922151026 | Po Ailani | Community Based Residential Treatment Facility, Mental Illness | 45-567 Pahia Road, Kaneohe, HI 96744 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
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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.