1. Home
  2. Directory
  3. Hawaii
  4. Kahului
  5. Custodial Care Facility
  6. NPI Profile

MARY JEAN B. URSUA
NPI 1114253853
Custodial Care Facility - Adult Care Home in Kahului, HI

Active since November 01, 2009
383 W PAPA AVE, KAHULUI, HI 96732(808) 877-0351(808) 877-0351 Get Directions Write a Review

NPPES record last updated: November 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Jean B. Ursua NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JEAN B. URSUA (NPI 1114253853) is a healthcare organization registered as an adult care home in Kahului, Hawaii and active in the NPI registry since November 2009. The organization lists Mary Jean Barbado Ursua, Lpn, as its authorized official.

NPPES Registry Identity

NPI1114253853
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameMARY JEAN B. URSUA
Location Address383 W PAPA AVEKahului, HI 96732-2639
Mailing Address383 W Papa AveKahului, HI 96732-2639 · (808) 877-0351 · Fax (808) 877-0351
Phone(808) 877-0351
Fax(808) 877-0351
Organization SubpartNo
Authorized OfficialMary Jean Barbado UrsuaLpn · (808) 877-0351
Enumeration DateNovember 1, 2009
✔ NPI 1114253853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in HI · W03609234-01
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
383 W PAPA AVE, Kahului, HI 96732
Open in Google Maps ↗

Other Identifiers 2

Medicaid587785HI
MedicaidW03609234-01HI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jean B. Ursua's NPI number?

The NPI number for Mary Jean B. Ursua is 1114253853. It was assigned to this organization in the NPPES registry on November 1, 2009.

Where is Mary Jean B. Ursua located?

Mary Jean B. Ursua is located at 383 W Papa Ave, Kahului, HI 96732. The listed phone number is (808) 877-0351.

What is Mary Jean B. Ursua's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mary Jean B. Ursua was last updated on November 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.