MEDICARE: OHANA HOMES INC.

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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1275798134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHANA HOMES INC.

Provider Business Mailing Address
First Line	:	31033 DATE PALM DR
Second Line	:
City	:	CATHEDRAL CITY
State	:	CA
Zip	:	92234-3014
Country	:	US
Telephone Number	:	310-464-7969
Fax Number	:

Provider Business Practice Location Address
First Line	:	31033 DATE PALM DR
Second Line	:
City	:	CATHEDRAL CITY
State	:	CA
Zip	:	92234-3014
Country	:	US
Telephone Number	:	310-464-7969
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MS. LINA R PHILIPP
Credential	:	RN
Telephone Number	:	310-464-7969

Provider Enumeration Date	:	07/21/2008
Last Update Date	:	07/21/2008

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Directions to “OHANA HOMES INC. ” Practice Location

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