Healthcare Provider Details

I. General information

NPI: 1720643463
Provider Name (Legal Business Name): 88 LOKOMAIKAI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2019
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-333 WAIPAHU DEPOT ST STE 113
WAIPAHU HI
96797-3012
US

IV. Provider business mailing address

94-333 WAIPAHU DEPOT ST STE 113
WAIPAHU HI
96797-3012
US

V. Phone/Fax

Practice location:
  • Phone: 808-762-8622
  • Fax: 808-762-8623
Mailing address:
  • Phone: 808-762-8622
  • Fax: 808-762-8623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. VICKIE BULAN
Title or Position: PRESIDENT
Credential:
Phone: 808-675-1680