Healthcare Provider Details

I. General information

NPI: 1497178925
Provider Name (Legal Business Name): ALOHA CARE HOMES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86-107 HOAHA ST
WAIANAE HI
96792-3021
US

IV. Provider business mailing address

86-107 HOAHA ST
WAIANAE HI
96792-3021
US

V. Phone/Fax

Practice location:
  • Phone: 808-368-2231
  • Fax: 808-696-2430
Mailing address:
  • Phone: 808-368-2231
  • Fax: 808-696-2430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number StateHI

VIII. Authorized Official

Name: MRS. MARLYN S ACURAM
Title or Position: PRESIDENT
Credential: ARCH ADMINISTRATOR
Phone: 808-368-2231