ALOHA HOUSE (NPI# 1457642076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457642076 |
Entity Type | Organization |
Organization Name | ALOHA HOUSE |
Other Organization Name | CRISIS MOBILE OUTREACH-CAMHD |
Practice Address |
200 Ike Dr Makawao HI 96768-9718 |
Practice Telephone | 8085798414 |
Practice Fax Number | 8085798426 |
Mailing Telephone | 8085798414 |
Mailing Fax Number | 8085798426 |
Enumeration Date | 2011-04-29 |
Last Update Date | 2014-02-03 |
Authorized Official Name | DARYL SELMAN (CLINICAL DIRECTOR) |
Authorized Official Telephone | 8085798414 |
Is Organization Subpart | Y |
Parent Organization Name | ALOHA HOUSE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 324500000X | Substance Abuse Rehabilitation Facility | 28STF | HI | Residential Treatment Facilities |
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Crisis Mobile Outreach-CAMHD | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entity | Aloha House LLC | 2299 4th Street , Boulder, CO 80302 |
Oregon Business Entity | ALOHA HOUSE LLC | 5353 FIRWOOD RD , LAKE OSWEGO, OR 97035 |
Washington Corporation | ALOHA HOUSE LLC | 3749 SOUTH 194TH, SEATTLE, WA 98188 |
Street Address |
200 IKE DR |
City | MAKAWAO |
State | HI |
Zip Code | 96768-9718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205838539 | Maui Youth and Family Services Inc | Voluntary or Charitable | 200 Ike Dr, Makawao, HI 96768-9718 | 2005-05-31 |
1730666397 | Theresa Ann Guinasso | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2018-07-25 |
1518459189 | Darren Eugenio | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2018-05-30 |
1386161974 | Audrey Marie Fraychineaud | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2017-08-24 |
1225581929 | Daniel Church | Social Worker | 200 Ike Dr, Makawao, HI 96768-9718 | 2016-07-28 |
1467874172 | Julie Shoup | Social Worker | 200 Ike Dr, Makawao, HI 96768-9718 | 2014-01-15 |
1710227681 | Jonathan Furtado | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2013-02-28 |
1629316468 | Eva Rickord | Counselor | 200 Ike Dr, Makawao, HI 96768-9718 | 2013-01-29 |
1093033581 | Christina J Andersson-reichert | Marriage & Family Therapist | 200 Ike Dr, Makawao, HI 96768-9718 | 2010-05-10 |
1326361759 | Nicole Emmalia Hokoana | Marriage & Family Therapist | 200 Ike Dr, Makawao, HI 96768-9718 | 2010-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669016853 | Jennifer Marie Slaughter | Social Worker | 1931 Baldwin Ave., Makawao, HI 96768 | 2019-10-31 |
1265083018 | Jacob Joseph Wardach | Nurse Practitioner | 81 Makawao Ave #100, Makawao, HI 96768 | 2019-09-24 |
1629570908 | Darran Kim | Optometrist | 24 Kiopa'a Street #102, Pukalani, HI 96768 | 2018-03-02 |
1487196226 | On The Path Counseling, LLC | Marriage & Family Therapist | 21 B Kealaloa Ave, Makawao, HI 96768 | 2016-11-10 |
1255794517 | Kimberly Dolan | Counselor | 1043 Makawao Ave Ste 209b, Makawao, HI 96768 | 2016-04-03 |
1023406238 | Sarah Chin Kasai | Optometrist | 8 Kiopaa Street, #102, Makawao, HI 96768 | 2014-12-23 |
1407251192 | Vida Rose Yap | Counselor | 1931 Baldwin Avenue, Makawao, HI 96768 | 2014-10-24 |
1477965911 | Karen Molina | Massage Therapist | 714a Pelenaka Pl., Makawao, HI 96768 | 2014-06-02 |
1023364213 | Adrianna Marie Flavin | Psychologist | 7 Aewa Place, Unit 7-a, Pukalani, HI 96768 | 2012-07-25 |
1184982514 | Nina Vishnevska | Psychiatry & Neurology | 1 Kahakapao Rd., Makewao, HI 96768 | 2012-04-23 |
Find all providers in zip 96768 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992950216 | Malama Na Makua A Keiki | Community/Behavioral Health | 1931 Baldwin Ave, Makawao, HI 96768-9718 | 2008-12-01 |
1689228710 | Deanna Dibiase | Community/Behavioral Health | 120 Makani Rd, Makawao, HI 96768-8916 | 2019-07-26 |
1891039434 | Akamai Recovery Maui LLC | Community/Behavioral Health | 1170 Makawao Ave, Makawao, HI 96768-9448 | 2012-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710596655 | Ho'ola Na Pua | Community/Behavioral Health | 58-130 Kamehameha Hwy, Haleiwa, HI 96712-9714 | 2020-07-27 |
1861000119 | Myra H Shindo | Community/Behavioral Health | 134 Walker Ave, Wahiawa, HI 96786-1817 | 2020-07-22 |
1922616549 | Child and Family Service | Community/Behavioral Health | 95-1091 Ainamakua Dr, Mililani, HI 96789-4252 | 2020-07-20 |
1114571973 | House of Blessings | Community/Behavioral Health | 148 Lakeview Cir, Wahiawa, HI 96786-1531 | 2019-07-30 |
1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
1528523248 | Pamela Matsuda Friar Lcsw, Inc. | Community/Behavioral Health | 25 Kaneohe Bay Dr Ste 204, Kailua, HI 96734-1734 | 2019-02-06 |
1649744921 | Big Island Behavior Interventions | Community/Behavioral Health | 16-566 Keaau Pahoa Rd Ste 188-111, Keaau, HI 96749-8137 | 2019-01-19 |
1790251940 | Anelalani K. M. Raposas | Community/Behavioral Health | 85-888 Farrington Hwy Ste 207, Waianae, HI 96792-2403 | 2018-10-15 |
1841794807 | Ke Alaula, Inc. | Community/Behavioral Health | 101 Aupuni St Ste 213, Hilo, HI 96720-4221 | 2018-03-22 |
1154824407 | Kipuka Counseling and Consulting, LLC | Community/Behavioral Health | 15-1463 Awa Ave, Keaau, HI 96749 | 2018-03-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.