Healthcare Provider Details

I. General information

NPI: 1356206445
Provider Name (Legal Business Name): ALOHA BEHAVIORAL HEALTH AND HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64-5193 KINOHOU ST STE 105
KAMUELA HI
96743-8446
US

IV. Provider business mailing address

64-5193 KINOHOU ST STE 105
KAMUELA HI
96743-8446
US

V. Phone/Fax

Practice location:
  • Phone: 808-491-2273
  • Fax: 808-452-1659
Mailing address:
  • Phone: 808-491-2273
  • Fax: 808-452-1659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MILLENO DAYZEN MAVAEGA
Title or Position: ADMINISTRATOR
Credential:
Phone: 808-491-2273