NPI Code Detail JSON Logo

1538438544 NPI number — PREFERRED HOME & COMMUNITY BASED SERVICES, INC.

NPI Number: 1538438544
Health Care Provider/Practitioner: PREFERRED HOME & COMMUNITY BASED SERVICES, INC.

Information about “1538438544” NPI (PREFERRED HOME & COMMUNITY BASED SERVICES, INC.) exists in 1538438544 in HTML format HTML  |  1538438544 in plain Text format TXT  |  1538438544 in PDF (Portable Document Format) PDF  |  1538438544 in an XML format XML  formats.

NPI Number : 1538438544 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538438544",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PREFERRED HOME & COMMUNITY BASED SERVICES, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "94-412 MAIKOIKO STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WAIPAHU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96797-0000",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-456-0078",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "94-412 MAIKOIKO STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WAIPAHU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96797",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-456-0078",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/20/2011",
    "LastUpdateDate": "04/14/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ETRATA",
    "AuthorizedOfficialFirstName": "MARIA",
    "AuthorizedOfficialMiddleName": "A.F.",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "808-456-0078",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "251S00000NX",
          "LicenseNumberStateCode": "HI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.