MEDICARE: CARE WITH ALOHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311500000X	Alzheimer Center (Dementia Center)

General Provider Information

NPI Number	:	1043072895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE WITH ALOHA

Provider Business Mailing Address
First Line	:	3020 BEAUFORT CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0478
Country	:	US
Telephone Number	:	702-544-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 BEAUFORT CT
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89032-0478
Country	:	US
Telephone Number	:	702-544-6737
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIC KO
Credential	:
Telephone Number	:	702-544-6737

Provider Enumeration Date	:	01/26/2024
Last Update Date	:	01/26/2024

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Directions to “CARE WITH ALOHA ” Practice Location

Language	Start Address	Practice Location

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