Organization Active NPI

Malama Hale Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Union City, CA
National Provider Identifier
1669673133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MALAMA HALE INC.
Practice address
5105 Sloan Way
Union City, CA 94587-5560
Phone
(510) 324-4366
NPI assigned
May 30, 2007
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
Miss Pacifico T. Ruiz, ADMINISTRATOR
Title
QMRP
Phone
(650) 703-5703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X CA Primary

Addresses

Primary practice location

5105 Sloan Way
Union City, CA 94587-5560

Mailing address

5105 Sloan Way
Union City, CA 94587-5560
Phone (650) 703-5760

National Provider Directory

National Provider Directory
Tax ID family
Malama Hale Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669673133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 SLOAN WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875560",
            "telephone_number": "650-703-5760",
            "fax_number": "510-324-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 SLOAN WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875560",
            "telephone_number": "510-324-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA HALE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "PACIFICO",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "QMRP",
        "authorized_official_telephone_number": "650-703-5703",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

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.