NPIMap

Organization Active NPI

Hale Mahaolu

  • In Home Supportive Care Agency
  • Kahului, HI
National Provider Identifier
1265038533
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HALE MAHAOLU
Practice address
200 Hina Ave
Kahului, HI 96732-1821
Phone
(808) 873-0521
Fax
(888) 501-6427
NPI assigned
Dec 10, 2020
Organization subpart
Yes
Parent organization
HALE MAHAOLUAs reported in NPPES

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
Reuben Ignacio
Title
Director
Phone
(808) 873-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 Hina Ave
Kahului, HI 96732-1821

Mailing address

200 Hina Ave
Kahului, HI 96732-1821
Phone (808) 873-0521

Other identifiers 1

IdentifierTypeStateIssuer
800714MedicaidHI

Other names 1

  • Tri-Isle Personal Care, Inc. (Molokai) Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rignacio@halemahaolu.org

National Provider Directory

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

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": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1265038533",
    "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": "808-873-0521",
            "fax_number": "888-501-6427"
        },
        {
            "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": "808-873-0521",
            "fax_number": "888-501-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MAHAOLU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALE MAHAOLU",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "REUBEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-873-0521"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800714",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rignacio@halemahaolu.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "200 Hina Ave",
            "city": "Kahului",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967321821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tri-Isle Personal Care, Inc. (Molokai)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tri-Isle Personal Care, Inc. (Molokai)",
            "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 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.