Organization Active NPI

Ku Aloha Ola Mau

  • Counselor
  • Kea'au, HI
National Provider Identifier
1568690840
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KU ALOHA OLA MAU
Practice address
15-1926 Puakalo (30TH) Ave.
Keaau, HI 96749
Phone
(808) 982-9555
Fax
(808) 982-9554
NPI assigned
Jun 25, 2009
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Lisa Cook
Title
Executive Director
Phone
(808) 538-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X HI Primary

Addresses

Primary practice location

15-1926 Puakalo (30TH) Ave.
Keaau, HI 96749

Mailing address

1130 N Nimitz Hwy
C302
Honolulu, HI 96817-4579
Phone (808) 538-0704

National Provider Directory

National Provider Directory
Tax ID family
Drug Addiction Services of Hawaii Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1568690840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY",
            "address_2": "C302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174579",
            "telephone_number": "808-538-0704",
            "fax_number": "808-538-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-1926 PUAKALO (30TH) AVE.",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-982-9555",
            "fax_number": "808-982-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KU ALOHA OLA MAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-538-0704"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kea'au, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.