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NOVA LUNA INC. NPI 1144659020


NPI Information

NPI: 1144659020
Provider Name: NOVA LUNA, INC.

Doing Business As: AI' PONO MAUI

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization

CLIA Number: 12D2099262

Address:
470 LILIHUA PL
WAILUKU, HI
ZIP 96793
Phone: (808) 249-9999
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NOVA LUNA, INC. is a community based residential treatment facility mental illness in Wailuku, HI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NOVA LUNA, INC. NPI is 1144659020. The provider is registered as an organization entity type.
The provider Is Doing Business As Ai' Pono Maui.

The provider's business location address is:

470 LILIHUA PL
WAILUKU, HI
ZIP 96793-313
Phone: (808) 249-9999

The provider's authorized official is Cathy Meyer-uyehara .
The authorized official title is Ceo and has the following contact phone number (808) 386-5849.

The CLIA number assigned to this NPI record is 12D2099262 - other - resident treatment cntr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2013 and was last updated on 11/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness98-STFHAWAIIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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