Malama Recovery Hi LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MALAMA RECOVERY HI LLC

Practice address

425 Ena Rd PH 6B
Honolulu, HI 96815-1712

Phone

(808) 781-3153

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By 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

Donald Fujiyama

Title

Chief Operations Officer

Phone

(808) 781-3153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1720774144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ENA RD PH 6B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ENA RD PH 6B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151712",
            "telephone_number": "808-781-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA RECOVERY HI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "FUJIYAMA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "808-781-3153"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Substance Abuse Rehabilitation Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.