Healthcare Provider Details

I. General information

NPI: 1184182909
Provider Name (Legal Business Name): RAINBOW HOME & HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2019
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 LOWER MAIN ST STE 4
WAILUKU HI
96793-2007
US

IV. Provider business mailing address

960 LOWER MAIN ST STE 4
WAILUKU HI
96793-2007
US

V. Phone/Fax

Practice location:
  • Phone: 808-856-9938
  • Fax: 808-214-5328
Mailing address:
  • Phone: 808-856-9938
  • Fax: 808-214-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORNA JANE NGAYAN DALEJA
Title or Position: MANAGER
Credential:
Phone: 808-856-9938