Pancho And Jayvie'S Adult Foster Care Home in Pahoa - Skilled Nursing Facility
Pancho And Jayvie'S Adult Foster Care Home - NPI 1356403976
Pancho And Jayvie'S Adult Foster Care Home is a Skilled Nursing Facility in Pahoa, Hawaii. Pancho And Jayvie'S Adult Foster Care Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Pancho And Jayvie'S Adult Foster Care Home is 1356403976. The last update date is 2008-06-23.
Pancho And Jayvie'S Adult Foster Care Home's current location address is Rr 3 Box 1009, Pahoa, Hawaii. You can contact this provider via phone number 8089825004 and fax number 8089825004. The mailing address for Pancho And Jayvie'S Adult Foster Care Home is Rr 3 Box 1009, Pahoa, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pancho And Jayvie'S Adult Foster Care Home |
|---|---|
| Address | Rr 3 Box 1009, Pahoa, Hawaii |
| Phone Number | 8089825004 |
| Fax Number | 8089825004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sumoba Agcaoili Jayvie |
| Credentials | CNA |
| Telephone Number | 8089825004 |
NPI Number Detail
| NPI Number | 1356403976 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | Rr 3 Box 1009 |
|---|---|
| City | Pahoa |
| State | Hawaii (HI) |
| Post Code | 967787500 |
| Phone Number | 8089825004 |
| Fax Number | 8089825004 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | W02297664-01 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique identifier code issued to Pancho And Jayvie'S Adult Foster Care Home by the Centers for Medicare & Medicaid Services (CMS)?
The Pancho And Jayvie'S Adult Foster Care Home has been assigned the NPI (National Provider Identifier) 1356403976. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Pancho And Jayvie'S Adult Foster Care Home located?
The Pancho And Jayvie'S Adult Foster Care Home is located at Rr 3 Box 1009, Pahoa, HI 967787500.
What is the Pancho And Jayvie'S Adult Foster Care Home's area of specialization and corresponding taxonomy classification?
The Pancho And Jayvie'S Adult Foster Care Home's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did Pancho And Jayvie'S Adult Foster Care Home receive its 1356403976 assignment from the Centers for Medicare & Medicaid Services?
The Pancho And Jayvie'S Adult Foster Care Home was assigned its 1356403976 on 2006-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pancho And Jayvie'S Adult Foster Care Home's details last updated?
The information pertaining to the Pancho And Jayvie'S Adult Foster Care Home, including its address, specialty, and other details, was most recently updated on 2008-06-23.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA