Hale Ohana Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HALE OHANA CARE LLC

Doing business as

Hale Ohana Care

Practice address

10713 Westwood Dr SW
Lakewood, WA 98499-4827

Phone

(253) 256-3088

Fax

(253) 256-3104

NPI assigned

Sep 25, 2023

Last updated

Sep 25, 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

Mr. Raenielle Sunga

Title

Provider

Phone

(253) 256-3088

Specialties & licenses 1

Addresses

Other names 1

• Hale Ohana Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hale Ohana Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hale Ohana Care LLC

  dba JRS Ohana Care Services

  • In Home Supportive Care Agency
  • Cedar City, UT
  • NPI 1295640225
  NPD tax ID

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1962281303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 WESTWOOD DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994827",
            "telephone_number": "253-256-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10713 WESTWOOD DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994827",
            "telephone_number": "253-256-3088",
            "fax_number": "253-256-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE OHANA CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SUNGA",
        "authorized_official_first_name": "RAENIELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "253-256-3088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale Ohana Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Hagan, OT
• Brooke Hagen
• Haggen Opco North LLC (Haggen Pharmacy #131)
• Haily Haight
• Naira Hakobyan
• Bradley A Hall
• Joanne Hall, BA
• Kristy L Hall
• Mischell Marie Hall, L.M.P.
• Paula Hall, RN

• Adult Care Home Facility in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.