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BAYADA HOME CARE
NPI 1306222468
Community/Behavioral Health in Honolulu, HI

Active since July 30, 2015CLIA 12D2142127 · Waiver
4510 SALT LAKE BLVD, SUITE B-6, HONOLULU, HI 96818(808) 597-1711(808) 597-1713 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayada Home Care NPPES

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

BAYADA HOME CARE (NPI 1306222468) is a healthcare organization registered as a community/behavioral health in Honolulu, Hawaii and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Stephen P. Flannery, Director Of Billing & Collections, as its authorized official.

NPPES Registry Identity

NPI1306222468
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBAYADA HOME CARE
Location Address4510 SALT LAKE BLVD, SUITE B-6Honolulu, HI 96818-3153
Mailing Address101 Executive Dr, Suite 4Moorestown, NJ 08057-4236 · (856) 778-4400 · Fax (856) 778-4103
Phone(808) 597-1711
Fax(808) 597-1713
Organization SubpartYes
Authorized OfficialStephen P. FlanneryDirector Of Billing & Collections · (856) 778-4400
Enumeration DateJuly 30, 2015
Last NPPES UpdateAugust 27, 2015
✔ NPI 1306222468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4510 SALT LAKE BLVD, Honolulu, HI 96818
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2142127

Bayada Home Care · Honolulu, HI
Active · expires Jan 2, 2028
CLIA Number12D2142127
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorJeishia Godoy
Laboratory Phone(808) 597-1711
Laboratory LocationBayada Home Care737 Bishop St, Suite 122, Honolulu, HI 96813
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRISTAN JI-UN MAESAKA
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 486-1804
JULIUS EUGENE SEABROOKS III
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 597-1711
CHELCI TELFORD
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 486-1804
BLENCH DELA CRUZ
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 486-1804
ASHLEE STAY RBT
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 486-1804
ARI JORDAN SOMERS
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 486-1804
MRS. WILLY GRACE P BUNGHANOY-DIAMA BCBA, LCSW
Social Worker (Clinical)
4510 SALT LAKE BLVD, SUITE D-8
HONOLULU, HI 96818
Honolulu County (808) 591-6060
CHRIS FOLLETT
Behavior Technician
4510 SALT LAKE BLVD
HONOLULU, HI 96818
Honolulu County (808) 591-6060

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 Bayada Home Care's NPI number?

The NPI number for Bayada Home Care is 1306222468. It was assigned to this organization in the NPPES registry on July 30, 2015.

Where is Bayada Home Care located?

Bayada Home Care is located at 4510 Salt Lake Blvd Suite B-6, Honolulu, HI 96818. The listed phone number is (808) 597-1711.

What is Bayada Home Care's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Bayada Home Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2142127) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayada Home Care was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.