Organization Active NPI

Aloha Habilitation Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Mililani, HI
National Provider Identifier
1831427608
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ALOHA HABILITATION SERVICES, INC.
Practice address
100 Kahelu Avenue
Suite 231
Mililani, HI 96789-3962
Phone
(808) 622-4200
Fax
(808) 622-4211
NPI assigned
Dec 6, 2009
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Mr. Jay Raymundo
Title
Ceo/Secretary
Phone
(808) 497-8157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Home Health Agency 251E00000X HI

Addresses

Primary practice location

100 Kahelu Avenue
Suite 231
Mililani, HI 96789-3962

Mailing address

100 Kahelu Avenue
Suite 231
Mililani, HI 96789-3962
Phone (808) 622-4200

Other identifiers 1

IdentifierTypeStateIssuer
509226MedicaidHI

National Provider Directory

National Provider Directory

Locations

100 Kahelu Ave
Ste 231
Mililani, HI 96789
Phone (808) 622-4200

NPI Registry JSON

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

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1831427608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVENUE",
            "address_2": "SUITE 231",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-622-4200",
            "fax_number": "808-622-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVENUE",
            "address_2": "SUITE 231",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893962",
            "telephone_number": "808-622-4200",
            "fax_number": "808-622-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA HABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "RAYMUNDO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO/SECRETARY",
        "authorized_official_telephone_number": "808-497-8157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509226",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.