Legacy Life, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEGACY LIFE, LLC

Practice address

94-1221 Ka Uka Blvd # B202
Waipahu, HI 96797-6202

Phone

(808) 259-1521

Fax

(808) 671-0222

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Mukai, LCSW, DCSW, CSACNPI 1386822401

Title

Owner

Phone

(808) 259-1521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron A Mukai, LCSW, DCSW, CSAC

  • Clinical Social Worker
  • Waipahu, HI
  • NPI 1386822401
  NPD (past) Authorized official

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1518200625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD # B202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD # B202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-259-1521",
            "fax_number": "808-671-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MUKAI",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-259-1521",
        "authorized_official_credential": "LCSW, DCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leeward Drug LTD (Waipahu Drug)
• Leeward Eye Care, Inc.
• Leeward Oahu Pharmacy Inc
• Leeward Oahu Rehab Services, L.L.C.
• Leeward Pedodontix, LLC (James M. Hori DDS, Dentistry for Children)
• Wendy Lehano
• Lydia A. Lem, OD
• Mia Leon Guerrero
• Kanani Leong
• Caitlin Lester-Pascua

• Community/Behavioral Health Agency in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.