Healthcare Provider Details

I. General information

NPI: 1477295038
Provider Name (Legal Business Name): MALAMA HOSPICE & PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75-5706 HANAMA PL STE 103
KAILUA KONA HI
96740-1713
US

IV. Provider business mailing address

75-5706 HANAMA PL STE 103
KAILUA KONA HI
96740-1713
US

V. Phone/Fax

Practice location:
  • Phone: 480-202-1674
  • Fax:
Mailing address:
  • Phone: 480-648-9664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANEIKA FALCONER
Title or Position: CEO
Credential: M.S/MBA
Phone: 480-202-1674