Kokua Villa, Inc.

LBN: Kokua Villa, Inc.
Kokua Villa, Inc. is an health care organization with primary practice located at 86-080 Farrington Hwy Suite 102, Waianae HI 96792-3069. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Developmental Disabilities. Ambulatory Health Care Facilities / Developmental Disabilities is the primary health care specialty. Kokua Villa, Inc. can be contacted via phone (808) 696-7000, or through Whitlock, Rosaline G. via phone (808) 696-7000.

Contact Information

Primary practice address
86-080 Farrington Hwy Suite 102 Waianae HI 96792-3069
Phone: (808) 696-7000
Fax: (808) 696-7003
Website:
Map and Directions
Authorized official contact:
Name: Whitlock, Rosaline G.
Phone: (808) 696-7000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X Hawaii
Agencies / Community/Behavioral Health 251S00000X Hawaii
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Hawaii

Profile Details

NPI number 1841427739
LBN Legal business name Kokua Villa, Inc.
DBA Doing business as
Authorized official Whitlock, Rosaline G.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2009
Last updated Jun 17th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841427739 NPPES
Hawaii MEDICAID 516908

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