SHELLA MARIE TAGUDIN VALENCIA (NPI# 1558927780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558927780 |
| Entity Type | Individual |
| Full Name | SHELLA MARIE TAGUDIN VALENCIA |
| Credential | NA |
| Practice Address |
91-1025 Leleoi St Ewa Beach HI 96706-4621 |
| Practice Telephone | 8087624214 |
| Practice Fax Number | 8087624214 |
| Mailing Telephone | 8087624214 |
| Mailing Fax Number | 8087624214 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1-190030 | HI | Nursing & Custodial Care Facilities |
| Street Address |
91-1025 LELEOI ST |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-4621 |
| 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 | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827148 | Nina Myra Badua | Custodial Care Facility | 91-1307 Maliko St, Ewa Beach, HI 96706-1809 | 2020-10-03 |
| 1134593874 | Karen Gay Antonio | Custodial Care Facility | 91 952 Hanakahi St, Ewa Beach, HI 96706 | 2015-11-18 |
| 1407108368 | Freedom Care Home LLC | Custodial Care Facility | 91-1191 Kamoawa St, Ewa Beach, HI 96706-4506 | 2012-10-02 |
| 1760719330 | Mary Jane A Ritumban | Custodial Care Facility | 91-1062 Auhola St, Ewa Beach, HI 96706-3972 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255968749 | Brigeth Gamiao | Custodial Care Facility | 94-1288 Kahuanui St, Waipahu, HI 96797-3569 | 2020-03-24 |
| 1568093151 | Guillerma Haber | Custodial Care Facility | 84-549 Nukea St, Waianae, HI 96792-1873 | 2020-01-31 |
| 1891335436 | Marrhey Care Home LLC | Custodial Care Facility | 94-211 Loaa St, Waipahu, HI 96797-1423 | 2020-01-12 |
| 1467099481 | Np Provider1, LLC | Custodial Care Facility | 46-064 Aliikane Pl Apt 2022, Kaneohe, HI 96744-3708 | 2019-12-10 |
| 1013470582 | Hestia Yi Lee | Custodial Care Facility | 151 Chong St, Hilo, HI 96720-1703 | 2019-04-10 |
| 1235638487 | Huapala Senior Care B, LLC | Custodial Care Facility | 2649b Huapala St, Honolulu, HI 96822-1653 | 2018-02-02 |
| 1013416270 | Huapala Senior Care C, LLC | Custodial Care Facility | 2649c Huapala St, Honolulu, HI 96822-1653 | 2018-02-02 |
| 1285133447 | Huapala Senior Care D, LLC | Custodial Care Facility | 2649d Huapala St, Honolulu, HI 96822-1653 | 2018-02-02 |
| 1639615248 | Lorenzo Care Home, LLC | Custodial Care Facility | 98-1591 Hoomaike St, Pearl City, HI 96782-2330 | 2017-01-06 |
| 1538523212 | Noreen Montijo | Custodial Care Facility | 94-833 Kalaiaha Pl, Waipahu, HI 96797-4527 | 2016-04-08 |
| 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.