=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841178639
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALOHA CARE MONTGOMERY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2025
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 711 MCQUEEN SMITH RD S
-----------------------------------------------------
City | PRATTVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36066-7503
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-215-9577
-----------------------------------------------------
Fax | 334-215-9577
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 817 N PALAFOX ST
-----------------------------------------------------
City | PENSACOLA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32501-3113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 850-477-1947
-----------------------------------------------------
Fax | 850-477-1947
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. CHAD KAIPO ROBELLO
-----------------------------------------------------
Credential | OWNER
-----------------------------------------------------
Telephone | 850-723-8667
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------