Organization Active NPI

Ohana Behavioral Services LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1467014563
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OHANA BEHAVIORAL SERVICES LLC
Practice address
4221 E Ray Rd Apt 2083
Phoenix, AZ 85044-0604
Phone
(619) 823-9444
NPI assigned
Jun 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Kimo Henson
Title
Owner
Phone
(619) 823-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4221 E Ray Rd Apt 2083
Phoenix, AZ 85044-0604

Mailing address

4221 E Ray Rd Apt 2083
Phoenix, AZ 85044-0604
Phone (619) 823-9444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1467014563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 E RAY RD APT 2083",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440604",
            "telephone_number": "619-823-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E RAY RD APT 2083",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440604",
            "telephone_number": "619-823-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "KIMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-823-9444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.