Provider Demographics
NPI:1538437645
Name:OHANA SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:OHANA SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMASAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-682-7384
Mailing Address - Street 1:94-126 KAUPU PL
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3800
Mailing Address - Country:US
Mailing Address - Phone:808-682-7384
Mailing Address - Fax:
Practice Address - Street 1:94-126 KAUPU PL
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3800
Practice Address - Country:US
Practice Address - Phone:808-682-7384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services