Organization Active NPI

Ohana Behavioral Services, LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1003474008
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OHANA BEHAVIORAL SERVICES, LLC
Practice address
2735 E Main St Ste 9
Mesa, AZ 85213-9269
Phone
(619) 823-9444
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Kimo Henson
Title
Owner
Phone
(619) 823-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2735 E Main St Ste 9
Mesa, AZ 85213-9269

Mailing address

10246 Lairwood Dr
Santee, CA 92071-1614
Phone (619) 619-9444

Other practice location 1

718 E Main St
Mesa, AZ 85203-8744
Phone (619) 823-9444

Other practice location 2

137 Pawnee Ave
Lawrence, KS 66046-4843
Phone (619) 823-9444

National Provider Directory

National Provider Directory

Locations

1106 N Gilbert Rd
Mesa, AZ 85203

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1003474008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10246 LAIRWOOD DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920711614",
            "telephone_number": "619-619-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 E MAIN ST STE 9",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139269",
            "telephone_number": "619-823-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 E Main St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852038744",
            "country_code": "US",
            "telephone_number": "619-823-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Pawnee Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660464843",
            "country_code": "US",
            "telephone_number": "619-823-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHANA BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "KIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-823-9444"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.