Provider Demographics
NPI:1073921284
Name:OAHU HOME CARE LLC
Entity Type:Organization
Organization Name:OAHU HOME CARE LLC
Other - Org Name:ALOHA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:DENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ-DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:2401 W EAU GALLIE BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2765
Mailing Address - Country:US
Mailing Address - Phone:321-259-3733
Mailing Address - Fax:321-259-3833
Practice Address - Street 1:2401 W EAU GALLIE BLVD STE 6
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2765
Practice Address - Country:US
Practice Address - Phone:321-259-3733
Practice Address - Fax:321-259-3833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108218Medicare Oscar/Certification