HALE MAKUA NPI 1790902120

NPI Information

NPI: 1790902120
Provider Name: HALE MAKUA
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Specialization: Parenteral & Enteral Nutrition
Entity Type: Organization
Other Name: HALE MAKUA - SUPPLIER
CLIA Number: 12D0678725
Address: 472 KAULANA ST
KAHULUI, HI
ZIP 96732
Phone: (808) 877-2761

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NPI Details

HALE MAKUA is a parenteral and enteral nutrition durable medical equipment medical supplies in Kahului, HI. HALE MAKUA NPI is 1790902120. The provider is registered as an organization entity type.
The provider Other Name Is Hale Makua - Supplier.

The provider's business location address is:

472 KAULANA ST
KAHULUI, HI
ZIP 96732-050
Phone: (808) 877-2761
Fax: (808) 871-9262

The provider's authorized official is Wesley Lo .
The authorized official title is Chief Executive Officer and has the following contact phone number (808) 877-2761.

The CLIA number assigned to this NPI record is 12D0678725 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 3/24/2017.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition		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	3849960001	MEDICARE ID-TYPE UNSPECIFIED	HAWAII
2	00K0043634	OTHER	HAWAII	HMSA ENTERALS

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: 11/21/2025

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