HALE OPIO KAUAI, INC. (NPI# 1417152828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417152828 |
| Entity Type | Organization |
| Organization Name | HALE OPIO KAUAI, INC. |
| Practice Address |
2959 Umi St Lihue HI 96766-1806 |
| Practice Telephone | 8082452873 |
| Practice Fax Number | 8082456957 |
| Mailing Telephone | 8082452873 |
| Mailing Fax Number | 8082456957 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANELA PATTERSON (ADMINISTRATIVE COORDINATOR) |
| Authorized Official Telephone | 8082452873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | ========= | HI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HALE OPIO KAUAI, INC. | 2959 Umi St Ste 300, Lihue, HI 96766-1806 |
| Street Address |
2959 UMI ST |
| City | LIHUE |
| State | HI |
| Zip Code | 96766-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295398295 | Tiffany Marrotte | Peer Specialist | 2959 Umi St, Lihue, HI 96766-1806 | 2019-04-16 |
| 1992293021 | Kristi Lee Sumida | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2018-04-24 |
| 1225589641 | Raquel Brace | Social Worker | 2959 Umi St, Lihue, HI 96766 | 2016-10-20 |
| 1548645112 | James Mertens | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2015-07-24 |
| 1932590536 | Addison Bulosan | Chiropractor | 2959 Umi St, Suite 202, Lihue, HI 96766-1806 | 2015-02-18 |
| 1831500495 | Matthew John Ives | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2014-05-15 |
| 1073959755 | Katy Ellen Means | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2013-05-21 |
| 1992059935 | Angela Hughes | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2012-10-30 |
| 1790034643 | Arleen Kuwamura | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2012-09-06 |
| 1124268420 | Anelalani Jade Segreti | Counselor | 2959 Umi St, Lihue, HI 96766-1806 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154989747 | Amber Denise Leach | Hearing Instrument Specialist | 4405 Kukei Grove St Suite 101, Lihue, HI 96766 | 2019-05-30 |
| 1730746264 | Maria Celeste I Papa | Home Health | 2980 Ewalu St., Unit 1, Lihue, HI 96766 | 2019-05-20 |
| 1588141287 | Dr. Joseph Schafermeyer LLC. | Dentist | 4381 Kukui Grove St., Ste. 2, Lihue, HI 96766 | 2018-07-25 |
| 1497232466 | Island Hand Therapy Clinic LLC | Occupational Therapist | 3175 Elua St Ste A, Lihue, HI 96766 | 2018-07-23 |
| 1245717578 | Robert M. Long, Dds. Inc. | Dentist | 4359 Kukui Grove Street, Suite 104, Lihue, HI 96766 | 2018-07-19 |
| 1922599547 | Annette Marisa Martinez | Behavior Technician | 3-3367 Kuhio Hwy # 211, Lihue, HI 96766 | 2018-05-21 |
| 1053822510 | Christopher Michael Wilson | Behavior Technician | 3-3367 Kuhio Hwy Ste 204, Lihue, HI 96766 | 2017-10-23 |
| 1740706308 | Kaumualii Medical Supplies | Durable Medical Equipment & Medical Supplies | 3-2600 Kaumualii Hwy 1300 #114, Lihue, HI 96766 | 2017-08-16 |
| 1629598925 | Araceli Rapozo | Counselor | 4370-kukui Grove St Suite 3-211, Lihue, HI 96766 | 2017-06-27 |
| 1629504725 | Chantelle Kane | Behavioral Analyst | 3122 Kuhio Hwy, Lihue, HI 96766 | 2017-05-10 |
| Find all providers in zip 96766 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336563154 | Michael James | Residential Treatment Facility, Emotionally Disturbed Children | 47-343 Lulani St, Kaneohe, HI 96744-4716 | 2014-02-13 |
| 1104192970 | Marimed Foundation | Residential Treatment Facility, Emotionally Disturbed Children | 47-292 Ahaolelo Rd, Kaneohe, HI 96744-4803 | 2012-03-27 |
| 1124145149 | Kids Behavioral Health of Hawaii, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 440 Kapiolani St, Hilo, HI 96720-3937 | 2007-03-23 |
| 1609132323 | Pacific Quest | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-06 |
| 1659685493 | Pacific Quest Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-08-04 |
| 1164627246 | Hale Kipa, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 615 Piikoi St, Suite 203, Honolulu, HI 96814-3116 | 2007-06-18 |
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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.