Ohana Caregivers LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH5103 Issued in AZ

Legal business name

OHANA CAREGIVERS LLC

Practice address

3091 W Santa Cruz Ave
Queen Creek, AZ 85142-3022

Phone

(605) 228-7765

NPI assigned

Jun 29, 2017

Organization subpart

No

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

Authorized official

Name

Kalli Pulling

Title

Owner

Phone

(605) 228-7765

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710408877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 W SANTA CRUZ AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423022",
            "telephone_number": "605-228-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 W SANTA CRUZ AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423022",
            "telephone_number": "605-228-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA CAREGIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PULLING",
        "authorized_official_first_name": "KALLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-228-7765"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH5103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.