NPIMap

Organization Active NPI

Hale Mahaolu

  • Home Delivered Meals
  • Kahului, HI
National Provider Identifier
1104914837
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
HALE MAHAOLU
Practice address
200 Hina Ave
Kahului, HI 96732-1821
Phone
(808) 872-4100
NPI assigned
Oct 10, 2006
Reactivated
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Grant Chun
Title
Executive Director
Phone
(808) 872-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

200 Hina Ave
Kahului, HI 96732-1821

Mailing address

200 Hina Ave
Kahului, HI 96732-1821
Phone (808) 872-4100

Other identifiers 1

IdentifierTypeStateIssuer
505373MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Hale Mahaolu4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1104914837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HINA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321821",
            "telephone_number": "808-872-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HINA AVE",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321821",
            "telephone_number": "808-872-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MAHAOLU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "deactivation_date": "2007-06-21",
        "reactivation_date": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-872-4100"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505373",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 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.

Verify at the official NPI Registry.