Healthcare Provider Details

I. General information

NPI: 1316527906
Provider Name (Legal Business Name): OHANA HOMECARE PLUS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 04/09/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-342 HANAWAI CIR
WAIPAHU HI
96797-3003
US

IV. Provider business mailing address

PO BOX 17234
HONOLULU HI
96817-0234
US

V. Phone/Fax

Practice location:
  • Phone: 808-738-6002
  • Fax:
Mailing address:
  • Phone: 808-738-6002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DIONISIO PACLEB
Title or Position: PRESIDENT
Credential:
Phone: 808-738-6002