PACIFIC QUEST CORPORATION (NPI# 1659685493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659685493 |
| Entity Type | Organization |
| Organization Name | PACIFIC QUEST CORPORATION |
| Practice Address |
15 Kanoa St Hilo HI 96720-2426 |
| Practice Telephone | 8089355423 |
| Practice Fax Number | 8084430418 |
| Mailing Telephone | 8089355423 |
| Mailing Fax Number | 8084430418 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Authorized Official Name | CYNDI DESHA (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 8089355423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Street Address |
15 KANOA ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285745794 | William Ryan Shelton | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2006-08-31 |
| 1740816313 | Travis Slagle | Counselor | 15 Kanoa St, Hilo, HI 96720-2426 | 2020-03-16 |
| 1881051795 | Bryce Healy | Naturopath | 15 Kanoa St, Hilo, HI 96720-2426 | 2016-01-22 |
| 1609132323 | Pacific Quest | Residential Treatment Facility, Emotionally Disturbed Children | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-06 |
| 1376809459 | Kathryn Lynn Kasenchak | Psychologist | 15 Kanoa St, Hilo, HI 96720-2426 | 2012-04-03 |
| 1023328564 | Mark G White | Counselor | 15 Kanoa St, Hilo, HI 96720-2426 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1417152828 | Hale Opio Kauai, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2959 Umi St, Lihue, HI 96766-1806 | 2007-06-15 |
| 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.