Hale Makua

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

HALE MAKUA

Practice address

472 Kaulana St
Kahului, HI 96732-2050

Phone

(808) 877-2761

Fax

(808) 871-9262

NPI assigned

Apr 19, 2007

Last updated

Mar 24, 2017By 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

Wesley Lo

Title

Chief Executive Officer

Phone

(808) 877-2761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HALE MAKUA - SUPPLIER Other name

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1790902120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MAKUA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-877-2761"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA ENTERALS",
            "identifier": "00K0043634",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALE MAKUA - SUPPLIER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hale Makua Health Services
• Hale Makua Health Services

• Parenteral & Enteral Nutrition Supplies (DME) in Kahului, HI
• Providers in Kahului, HI by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.