HALE O MOAKAAKA LLC NPI 1821542754

NPI Information

NPI: 1821542754
Provider Name: HALE O MOAKAAKA LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
153 E KAMEHAMEHA AVE STE 104
KAHULUI, HI
ZIP 96732
Phone: (808) 600-6242
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HALE O MOAKAAKA LLC is a community based residential treatment facility mental illness in Kahului, HI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HALE O MOAKAAKA LLC NPI is 1821542754. The provider is registered as an organization entity type.

The provider's business location address is:

153 E KAMEHAMEHA AVE STE 104
KAHULUI, HI
ZIP 96732-424
Phone: (808) 600-6242

The provider's authorized official is James Chadwick Lyon .
The authorized official title is Chief Clinical Officer and has the following contact phone number (270) 231-7022.

The enumeration date for this NPI number is 8/9/2016 and was last updated on 2/9/2023.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			No
2	251S00000X	Community/Behavioral Health	34007463A	INDIANA	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness			Yes

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

NPI Synchronization or Removal

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