=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083518823
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALOHA ASSISTED LIVING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2026
-----------------------------------------------------
Last Update Date | 10/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7816 TIGERWOODS DR
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95829-6602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-502-5057
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7816 TIGERWOODS DR
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95829-6602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-502-5057
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | GRACE DULAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 916-502-5057
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------