DELIA LAURENA ADULT RESIDENTIAL CARE HOME LLC (NPI# 1861812406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861812406 |
| Entity Type | Organization |
| Organization Name | DELIA LAURENA ADULT RESIDENTIAL CARE HOME LLC |
| Practice Address |
1654 Hauiki St Honolulu HI 96819-2614 |
| Practice Telephone | 8088459373 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | DELIA LAURENA (OWNER) |
| Authorized Official Telephone | 8088459373 |
| 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 |
| Street Address |
1654 HAUIKI ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| 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 |
|---|---|---|---|---|
| 1093130007 | Mental Health Kokua | Assisted Living Facility | 4510 Sierra Dr, Sierra House, Honolulu, HI 96816-4024 | 2014-02-27 |
| 1679998678 | Steadfast Housing Development Corp | Assisted Living Facility | 1019-b 8th Avenue, Honolulu, HI 96816-2490 | 2014-02-27 |
| 1811312978 | Breaking Boundaries Recovery Services | Assisted Living Facility | 1676 Piikea St, Honolulu, HI 96818-1843 | 2014-02-26 |
| 1871918144 | Mental Health Kokua | Assisted Living Facility | 3443 Pahoa Ave, Hale Alohi, Honolulu, HI 96816-2158 | 2014-02-24 |
| 1689099061 | Steadfast Housing Development Corp | Assisted Living Facility | 1025 2nd Ave, Honolulu, HI 96816-1406 | 2014-02-21 |
| 1710302104 | Mental Health Kokua | Assisted Living Facility | 1316 Dominis St, Honolulu, HI 96822-3018 | 2014-02-21 |
| 1326462953 | Prieto, Gloria Albano Dba Prieto Arch & Expanded Care Arch, LLC | Assisted Living Facility | 3504 Likini St, Honolulu, HI 96818-2105 | 2014-02-18 |
| 1245654870 | Mukai, Joyce R. | Assisted Living Facility | 2465 Ala Wai Blvd Apt 904, Honolulu, HI 96815-3432 | 2014-02-18 |
| 1497170765 | Mental Health Kokua | Assisted Living Facility | 41 S Beretania St, Safe Haven, Honolulu, HI 96813-2220 | 2014-02-24 |
| 1174948681 | Talavera, Elsa P. Dba Islandcare Management | Assisted Living Facility | 1188 Bishop St, Suite 1508, Honolulu, HI 96813-3301 | 2014-02-20 |
| Find all providers in HONOLULU | ||||
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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.