Hale O Moakaaka LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HALE O MOAKAAKA LLC

Practice address

153 E Kamehameha Ave Ste 104
Kahului, HI 96732-3424

Phone

(808) 600-6242

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

James Chadwick Lyon, LCSW

Title

Chief Clinical Officer

Phone

(270) 231-7022

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1821542754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E KAMEHAMEHA AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E KAMEHAMEHA AVE STE 104",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323424",
            "telephone_number": "808-600-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 Covert Ave",
            "address_2": "Suite 217B",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477145617",
            "country_code": "US",
            "telephone_number": "812-213-7314",
            "fax_number": "812-485-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HALE O MOAKAAKA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHADWICK",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "270-231-7022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34007463A",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hale Makua Health Services
• Hale Makua Health Services
• Hale Makua Health Services
• Hale Makua Health Services
• Hale Makua Health Services
• Edie R Hamilton, PA-C
• Jeremy Hannum, PT
• Katrina Eileen Hansen-Schmitt, FNP-C
• Alissa Rae Harris, LBA, LMHC
• Christy Elisabeth Hartman, FNP-BC

• Mental Illness Community Based Residential Treatment Facility in Kahului, HI
• Providers in Kahului, HI by specialty
• Mental Illness Community Based Residential Treatment Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.