Organization Active NPI

Ohana LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Somerset, KY
National Provider Identifier
1003412214
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
OHANA LLC
Practice address
647 W Highway 80 Ste 2
Somerset, KY 42503-2897
Phone
(606) 425-4712
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaela Patterson
Title
Executive Director
Phone
(606) 425-4712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

647 W Highway 80 Ste 2
Somerset, KY 42503-2897

Mailing address

105 Lay St
Barbourville, KY 40906-1009
Phone (606) 260-2530

National Provider Directory

National Provider Directory
Tax ID family
Ohana LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

647 W Highway 80
Ste 2
Somerset, KY 42503
Phone (606) 425-4712

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1003412214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAY ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061009",
            "telephone_number": "606-260-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 W HIGHWAY 80 STE 2",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032897",
            "telephone_number": "606-425-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KAELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "606-425-4712"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.