Active NPI
Ohana Behavioral Services, LLC
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1003474008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.