Provider Demographics
NPI:1235797457
Name:OHANA HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:OHANA HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:REKBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-449-8105
Mailing Address - Street 1:1990 NE 163RD ST STE 228
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4854
Mailing Address - Country:US
Mailing Address - Phone:917-449-8105
Mailing Address - Fax:
Practice Address - Street 1:1990 NE 163RD ST STE 228
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4854
Practice Address - Country:US
Practice Address - Phone:917-449-8105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health