Healthcare Provider Details

I. General information

NPI: 1922933878
Provider Name (Legal Business Name): ALOHA PRIVATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 SALEM RD APT 301
BEAUFORT SC
29902-5619
US

IV. Provider business mailing address

2026 SALEM RD APT 301
BEAUFORT SC
29902-5619
US

V. Phone/Fax

Practice location:
  • Phone: 843-816-3665
  • Fax:
Mailing address:
  • Phone: 843-816-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: RANDELL HANNA
Title or Position: OWNER
Credential:
Phone: 843-816-3665