Provider Demographics
NPI:1477295038
Name:MALAMA HOSPICE & PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:MALAMA HOSPICE & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANEIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCONER
Authorized Official - Suffix:
Authorized Official - Credentials:MS/MBA
Authorized Official - Phone:480-202-1674
Mailing Address - Street 1:75-5706 HANAMA PL STE 103
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1713
Mailing Address - Country:US
Mailing Address - Phone:480-648-9664
Mailing Address - Fax:
Practice Address - Street 1:75-5706 HANAMA PL STE 103
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1713
Practice Address - Country:US
Practice Address - Phone:480-202-1674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-12
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based