NPIMap

Organization Active NPI

Hale Makua Health Services

  • Adult Day Care Clinic/Center
  • Kahului, HI
National Provider Identifier
1093715823
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
HALE MAKUA HEALTH SERVICES
Practice address
472 Kaulana St
Kahului, HI 96732-2050
Phone
(808) 877-2761
Fax
(808) 871-9262
NPI assigned
Jul 22, 2005
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Wesley Lo
Title
Chief Executive Officer
Phone
(808) 877-2761

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 23-N HI
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

472 Kaulana St
Kahului, HI 96732-2050

Mailing address

472 Kaulana St
Kahului, HI 96732-2050
Phone (808) 877-2761

Other identifiers 1

IdentifierTypeStateIssuer
514415-01MedicaidHI

Other names 1

  • HALE MAKUA - DAY HEALTH Other name

National Provider Directory

National Provider Directory
Tax ID family
Hale Makua Health Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1093715823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MAKUA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-877-2761"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "23-N",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514415-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALE MAKUA - DAY HEALTH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HALE MAKUA - DAY HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.