Organization Active NPI

Kealoha Care LLC

  • In Home Supportive Care Agency
  • Mission Viejo, CA
National Provider Identifier
1790164499
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KEALOHA CARE LLC
Doing business as
FirstLight HomeCare of Mission Viejo
Practice address
26050 Acero
Suite 303
Mission Viejo, CA 92691-2768
Phone
(949) 288-3267
Fax
(949) 238-6379
NPI assigned
May 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Grace Rongcal
Title
Managing Member
Phone
(949) 288-3267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

26050 Acero
Suite 303
Mission Viejo, CA 92691-2768

Mailing address

26050 Acero
Suite 303
Mission Viejo, CA 92691-2768
Phone (949) 288-3267

Other names 1

  • FirstLight HomeCare of Mission Viejo Doing business as

National Provider Directory

National Provider Directory

Locations

26050 Acero
Ste 303
Mission Viejo, CA 92691
Phone (949) 288-3267

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1790164499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26050 ACERO",
            "address_2": "SUITE 303",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "949-288-3267",
            "fax_number": "949-238-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26050 ACERO",
            "address_2": "SUITE 303",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912768",
            "telephone_number": "949-288-3267",
            "fax_number": "949-238-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALOHA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "RONGCAL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-288-3267"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare of Mission Viejo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.