WAIANAE COAST COMMUNITY MENTAL HEALTH CENTER (NPI# 1811313596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811313596 |
| Entity Type | Organization |
| Organization Name | WAIANAE COAST COMMUNITY MENTAL HEALTH CENTER |
| Other Organization Name | HALE NAAU PONO |
| Practice Address |
84-976 Hanalei St Waianae HI 96792-2210 |
| Mailing Address |
86-266 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086964212 |
| Mailing Telephone | 8086964212 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | POKA LAENUI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8086964212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Hale Naau Pono | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346669868 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-177a Orange St, Waianae, HI 96792-2265 | 2014-04-11 |
| 1659797330 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-120 Water St, Waianae, HI 96792-1834 | 2014-03-05 |
| 1649696329 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-177 Orange St, Waianae, HI 96792-2265 | 2014-03-05 |
| 1639595317 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 87-223 Ohiohi Pl, Waianae, HI 96792-3181 | 2014-03-05 |
| 1154746857 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-111 Lahaina St, Waianae, HI 96792-9999 | 2014-03-04 |
| 1124299136 | Waianae Coast Community Mental Health Center | Counselor | 86-266 Farrington Highway, Waianae, HI 96792-3128 | 2008-03-18 |
| 1043362338 | Waianae Coast Community Mental Health Center | Clinic/Center | 86-226 Farrington Hwy, Waianae, HI 96792-3128 | 2007-01-17 |
| Street Address |
84-976 HANALEI ST |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346669868 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-177a Orange St, Waianae, HI 96792-2265 | 2014-04-11 |
| 1588080204 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-028 Makau St, Waianae, HI 96792-1822 | 2014-03-06 |
| 1285050807 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-808 Lihue St, Waianae, HI 96792-2431 | 2014-03-06 |
| 1265858880 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-841 Lihue St, Waianae, HI 96792-2453 | 2014-03-06 |
| 1841616463 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-920 Lahaina St, Waianae, HI 96792-2237 | 2014-03-06 |
| 1184040701 | Breaking Boundaries Recovery Services | Assisted Living Facility | 86-619 Puuhulu Rd, Waianae, HI 96792-2724 | 2014-03-06 |
| 1609292325 | Breaking Boundaries Recovery Services | Assisted Living Facility | 87-1872 Mohihi St, Waianae, HI 96792-3734 | 2014-03-06 |
| 1932525656 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-890 Farrington Hwy, Waianae, HI 96792-2001 | 2014-03-06 |
| 1487070108 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-896 Farrington Hwy, Waianae, HI 96792-2001 | 2014-03-06 |
| 1659797272 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-134 Plantation Rd # A, Waianae, HI 96792-2653 | 2014-03-06 |
| Find all providers in WAIANAE | ||||
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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.