=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922962950
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PILINA HEALTH RESOURCES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 94-342 HANAWAI CIR
-----------------------------------------------------
City | WAIPAHU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96797-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-753-9528
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 94-342 HANAWAI CIR
-----------------------------------------------------
City | WAIPAHU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96797-3003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-753-9528
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | DELSIE SMITH GOMABON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 808-675-6368
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174200000X
-----------------------------------------------------
Taxonomy Name | Meals Provider
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------