MALAMA OLA HEALTH SERVICES LLC NPI 1588171284

NPI Information

NPI: 1588171284
Provider Name: MALAMA OLA HEALTH SERVICES LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 12D2196892

Address:
1783 PIIKEA ST
HONOLULU, HI
ZIP 96818
Phone: (808) 543-1188
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MALAMA OLA HEALTH SERVICES LLC is a hospice care community based in Honolulu, HI. MALAMA OLA HEALTH SERVICES LLC NPI is 1588171284. The provider is registered as an organization entity type.

The provider's business location address is:

1783 PIIKEA ST
HONOLULU, HI
ZIP 96818-849
Phone: (808) 543-1188
Fax: (808) 543-1189

The provider's authorized official is Michael Gregory Duick .
The authorized official title is Member and has the following contact phone number (808) 543-1188.

The CLIA number assigned to this NPI record is 12D2196892 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 2/16/2022.

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	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		17-02	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	828577	MEDICAID	HAWAII

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: 11/14/2023

NPI Synchronization or Removal

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