THE OHANA RETREAT LLC (NPI# 1477151249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477151249 |
| Entity Type | Organization |
| Organization Name | THE OHANA RETREAT LLC |
| Practice Address |
75-5915 Walua Rd Kailua Kona HI 96740-1375 |
| Practice Telephone | 8776642622 |
| Mailing Telephone | 8776642622 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MR. ELLIOTT SMITH (CEO) |
| Authorized Official Telephone | 8776642622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Ohana Addiction Treatment Center | Doing Business As Name - Organization |
| Street Address |
75-5915 WALUA RD |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413097 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1188 Bishop St Ste 1008, Honolulu, HI 96813-3304 | 2020-10-03 |
| 1215474317 | New Leaf Treatment Centre LLC | Substance Abuse Rehabilitation Facility | 152 Lakeview Circle, Wahiawa, HI 96786 | 2017-01-26 |
| 1346793114 | Debra Bayer Inc | Substance Abuse Rehabilitation Facility | 1325 S Kihei Rd Ste 215, Kihei, HI 96753 | 2016-07-28 |
| 1699065599 | The Scott Recovery Retreat | Substance Abuse Rehabilitation Facility | 4030 Pali Moana Place, Kilauea, HI 96754 | 2011-04-12 |
| 1598902744 | Narconon Hawaii | Substance Abuse Rehabilitation Facility | 90-1011 Lexington Avenue, Kapolei, HI 76707 | 2009-01-09 |
| 1578689816 | Kline-welsh Behavioral Health Fondation | Substance Abuse Rehabilitation Facility | 1240 Sand Island Pkwy, Honolulu, HI 96819-4315 | 2007-03-21 |
| 1194883553 | Ho'omau Ke Ola | Substance Abuse Rehabilitation Facility | 85-761 Farrington Hwy, Waianae, HI 96792-2463 | 2006-12-05 |
| 1740358118 | The Alcoholic Rehabilitation Services of Hawaii Inc | Substance Abuse Rehabilitation Facility | 45-845 Pookela St, Kaneohe, HI 96744-5700 | 2006-12-01 |
| 1871660902 | Salvation Army Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 3624 Waokanaka St, Honolulu, HI 96817-5224 | 2006-11-30 |
| 1740629310 | Jeffrey James Baumann | Substance Abuse Rehabilitation Facility | 56-660 Kamehameha Hwy, Kahuku, HI 96731-2210 | 2013-06-17 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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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.