Healthcare Provider Details

I. General information

NPI: 1396659686
Provider Name (Legal Business Name): HOOLA HALE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-1086 HALEULULAAU ST
WAIPAHU HI
96797-6212
US

IV. Provider business mailing address

94-1086 HALEULULAAU ST
WAIPAHU HI
96797-6212
US

V. Phone/Fax

Practice location:
  • Phone: 808-277-5830
  • Fax: 888-276-8056
Mailing address:
  • Phone: 808-277-5830
  • Fax: 888-276-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SHERYL OLBOC
Title or Position: MEMBER
Credential:
Phone: 808-277-5830