Provider Demographics
NPI:1366677742
Name:COORDINATED SERVICES FOR THE ELDERLY
Entity Type:Organization
Organization Name:COORDINATED SERVICES FOR THE ELDERLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZOEANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-961-8777
Mailing Address - Street 1:1055 KINOOLE ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3872
Mailing Address - Country:US
Mailing Address - Phone:808-961-8777
Mailing Address - Fax:808-961-8704
Practice Address - Street 1:1055 KINOOLE ST
Practice Address - Street 2:SUITE 106
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3872
Practice Address - Country:US
Practice Address - Phone:808-961-8777
Practice Address - Fax:808-961-8704
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF HAWAI'I
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIPENDINGMedicaid