Provider Demographics
NPI:1083207880
Name:ALOHA ADVANCED CARE LLC
Entity Type:Organization
Organization Name:ALOHA ADVANCED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN, OWNER & OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIRDASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-469-0300
Mailing Address - Street 1:47-435 HUI NENE ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4640
Mailing Address - Country:US
Mailing Address - Phone:808-460-4899
Mailing Address - Fax:808-452-1976
Practice Address - Street 1:1520 LILIHA ST STE 403
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3563
Practice Address - Country:US
Practice Address - Phone:808-460-4899
Practice Address - Fax:808-452-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI006383Medicaid