Organization Active NPI

Ohana Hale Arch/Expanded Arch, LLC

  • Assisted Living Facility (Mental Illness)
  • Waipahu, HI
National Provider Identifier
1013331628
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
OHANA HALE ARCH/EXPANDED ARCH, LLC
Practice address
94-1063 Halelehua St
Waipahu, HI 96797-3702
Phone
(808) 677-9718
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Jerry Felicitas
Title
Owner
Phone
(808) 677-9718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

94-1063 Halelehua St
Waipahu, HI 96797-3702

Mailing address

94-1063 Halelehua St
Waipahu, HI 96797-3702
Phone (808) 677-9718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1013331628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1063 HALELEHUA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973702",
            "telephone_number": "808-677-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1063 HALELEHUA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973702",
            "telephone_number": "808-677-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA HALE ARCH/EXPANDED ARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "FELICITAS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-677-9718"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.