Provider Demographics
NPI:1447131180
Name:KAKUA HEALTH AND HUMAN SERVICES INC.
Entity type:Organization
Organization Name:KAKUA HEALTH AND HUMAN SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:BOKON
Authorized Official - Last Name:MAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:888-927-8396
Mailing Address - Street 1:500 ISABELLE ISLE APT 306
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-5496
Mailing Address - Country:US
Mailing Address - Phone:888-927-8396
Mailing Address - Fax:302-208-4914
Practice Address - Street 1:500 ISABELLE ISLE APT 306
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-5496
Practice Address - Country:US
Practice Address - Phone:888-927-8396
Practice Address - Fax:302-208-4914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No251J00000XAgenciesNursing Care