Provider Demographics
NPI:1902516602
Name:OHANA SENIOR CARE, LLC
Entity Type:Organization
Organization Name:OHANA SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL LEAH
Authorized Official - Middle Name:BUENO
Authorized Official - Last Name:AGBISIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-913-2067
Mailing Address - Street 1:1454 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2501
Mailing Address - Country:US
Mailing Address - Phone:808-913-2067
Mailing Address - Fax:808-913-2067
Practice Address - Street 1:1454 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-2501
Practice Address - Country:US
Practice Address - Phone:808-913-2067
Practice Address - Fax:808-913-2067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty