Organization Active NPI

Ho'Omau Ke Ola

  • Substance Abuse Rehabilitation Facility
  • Waianae, HI
National Provider Identifier
1194883553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
W20385968-01 Issued in HI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.