Healthcare Provider Details

I. General information

NPI: 1346169158
Provider Name (Legal Business Name): OHANA CARE MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6436 S JOHN BUTLER RD
COLUMBUS IN
47201-9437
US

IV. Provider business mailing address

6436 S JOHN BUTLER RD
COLUMBUS IN
47201-9437
US

V. Phone/Fax

Practice location:
  • Phone: 317-697-9296
  • Fax: 833-279-2795
Mailing address:
  • Phone: 317-697-9296
  • Fax: 833-279-2795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIN CARR
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 317-697-9296