DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HALE KIPA, INC.

MEDICARE: HALE KIPA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3322D00000XEmotionally Disturbed Childrens' Residential Treatment FacilityW2005550002HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W2005550002OTHERHIHAWAII TAX ID

General Provider Information

NPI Number : 1164627246
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALE KIPA, INC.
Provider Business Mailing Address
First Line : 91-2128 OLD FT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1911
Country : US
Telephone Number : 808-589-1829
Fax Number : 808-589-2610
Provider Business Practice Location Address
First Line : 91-2128 OLD FT WEAVER RD
Second Line :
City : EWA BEACH
State : HI
Zip : 96706-1911
Country : US
Telephone Number : 808-589-1829
Fax Number : 808-589-2610
Authorized Official
Title or Position : CEO
Name : MRS. VENUS VENUS ROSETE-MEDEIROS
Credential :
Telephone Number : 808-589-1829
Provider Enumeration Date : 06/18/2007
Last Update Date : 05/11/2023

Similar Medicare Providers

1629930094 — MADONNA TAUEU
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-754-9858
Practice Fax:
1174770119 — ROBERTA L UEMURA
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-589-1829
Practice Fax: 808-589-2610
1285885004 — MICHELLE NIITANI
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-589-1829
Practice Fax:
1326299132 — CHAELYN ENOS
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-589-1829
Practice Fax:
1093043713 — ANALYN R LAHIP
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-589-1829
Practice Fax:
1801238183 — THERESA HAAS MS
Practice Location Address:
91-2128 OLD FT WEAVER RD
EWA BEACH, HI
96706-1911
Practice Phone: 808-589-1829
Practice Fax:

Directions to “HALE KIPA, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.