Aholotu A Fafine Maliukaetau

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.61612193 Issued in WA

Practice address

16018 42ND Ave S
Tukwila, WA 98188-3011

Phone

(510) 586-5914

NPI assigned

Mar 3, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lido-Love Home Care Agency LLC

  • In Home Supportive Care Agency
  • Tukwila, WA
  • NPI 1851186159
  NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1083412480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 42ND AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883011",
            "telephone_number": "510-586-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 42ND AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883011",
            "telephone_number": "510-586-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIUKAETAU",
        "first_name": "AHOLOTU",
        "middle_name": "A FAFINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "WA",
            "license": "IHS.FS.61612193",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.61612193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikran Mahdi
• Cindy L Mahedy, LMT
• Emma Maier
• Martin Maimon, MD
• Anne Malecek, MSW
• Jonah Malmon-Andrews
• Michelle Manaois, RPH
• Austyn Manaway
• Katharine M Mancini
• Anna Mandarino

• In Home Supportive Care Agency in Tukwila, WA
• Providers in Tukwila, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.