Active NPI
Ho'Omau Ke Ola
- Substance Abuse Rehabilitation Facility
- Waianae, HI
National Provider Identifier
1194883553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- W20385968-01
- Legal business name
- HO'OMAU KE OLA
- Practice address
- 85-761 Farrington Hwy
Waianae, HI 96792-2463 - Phone
- (808) 696-8675
- Fax
- (808) 696-3661
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Siebert
- Title
- Executive Direcotr
- Phone
- (808) 696-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | W20385968-01 | HI | Primary |
Addresses
Primary practice location
85-761 Farrington Hwy
Waianae, HI 96792-2463
Mailing address
PO Box 837
Waianae, HI 96792-0837
National Provider Directory
National Provider DirectoryLocations
85-761 Farrington Hwy
Waianae, HI 96792
Phone (808) 380-6419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194883553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 837",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967920837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85-761 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967922463",
"telephone_number": "808-696-8675",
"fax_number": "808-696-3661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HO'OMAU KE OLA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIEBERT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECOTR",
"authorized_official_telephone_number": "808-696-8675",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "HI",
"license": "W20385968-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.