Provider Demographics
NPI:1023773934
Name:OHANA CASE MANAGEMENT AGENCY, LLC
Entity type:Organization
Organization Name:OHANA CASE MANAGEMENT AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BATALON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-927-2560
Mailing Address - Street 1:92-7055 ELELE ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2312
Mailing Address - Country:US
Mailing Address - Phone:808-678-8200
Mailing Address - Fax:808-678-8225
Practice Address - Street 1:92-7055 ELELE ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2312
Practice Address - Country:US
Practice Address - Phone:808-678-8200
Practice Address - Fax:808-678-8225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI530940Medicaid