Provider Demographics
NPI:1114159449
Name:DLMC, INC.
Entity Type:Organization
Organization Name:DLMC, INC.
Other - Org Name:KAMAAINA HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:FAJARDO
Authorized Official - Last Name:DEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-989-7882
Mailing Address - Street 1:PO BOX 1238
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1238
Mailing Address - Country:US
Mailing Address - Phone:808-422-2802
Mailing Address - Fax:808-484-9076
Practice Address - Street 1:98-023 HEKAHA STREET
Practice Address - Street 2:BUILDING 1 UNIT 209
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-422-2802
Practice Address - Fax:808-484-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI27453540-01251E00000X
251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care