Provider Demographics
NPI:1487127395
Name:OHANA MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:OHANA MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOYTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-292-6473
Mailing Address - Street 1:1 KEAHOLE PL APT 3210
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-3424
Mailing Address - Country:US
Mailing Address - Phone:808-292-6473
Mailing Address - Fax:267-937-7690
Practice Address - Street 1:1 KEAHOLE PL APT 3210
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-3424
Practice Address - Country:US
Practice Address - Phone:808-292-6473
Practice Address - Fax:267-937-7690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIDME-0190OtherDME LICENSE - DEPARTMENT OF HEALTH, OFFICE OF HEALTH CARE ASSURANCE