Lifespan Care Hawaii LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFESPAN CARE HAWAII LLC

Practice address

65-1235A Opelo Rd Ste 4
Kamuela, HI 96743-8401

Phone

(808) 762-6743

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Rae Min

Title

Chief Operating Officer

Phone

(808) 762-6743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1053164780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1235A OPELO RD STE 4",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438401",
            "telephone_number": "808-762-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1235A OPELO RD STE 4",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438401",
            "telephone_number": "808-762-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN CARE HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "808-762-6743"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Lessard-Chaudoin, APRN
• Jan V Levitan, MD
• Leilani Lewis, PH.D.
• Li Iris Li, M.D.
• Liberty Dialysis-North Hawaii LLC
• Kynaston Kaika Lindsey, LMT
• Lyda Kalei Liu, MSPT
• Yizheng Logan
• Adam R Long, DMD
• Longs Drug Stores California LLC (Longs Drugs #02406)

• In Home Supportive Care Agency in Kamuela, HI
• Providers in Kamuela, HI by specialty
• In Home Supportive Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.