Healthcare Provider Details

I. General information

NPI: 1902725260
Provider Name (Legal Business Name): PARTNERS IN DEVELOPMENT FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1758 OOHAO ST
EWA BEACH HI
96706-4480
US

IV. Provider business mailing address

2040 BACHELOT ST
HONOLULU HI
96817-2433
US

V. Phone/Fax

Practice location:
  • Phone: 808-595-2752
  • Fax:
Mailing address:
  • Phone: 808-595-2752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: SHAWN KANAIAUPUNI
Title or Position: CEO
Credential: PHD
Phone: 808-595-2752