Provider Demographics
NPI:1619082781
Name:LOU'S QUALITY HOME HEALTH CARE SERVICES, L.L.C.
Entity Type:Organization
Organization Name:LOU'S QUALITY HOME HEALTH CARE SERVICES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:HIEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-623-7109
Mailing Address - Street 1:95-212 WAILAWA STREET
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789
Mailing Address - Country:US
Mailing Address - Phone:808-623-7109
Mailing Address - Fax:808-623-7100
Practice Address - Street 1:95-212 WAILAWA STREET
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789
Practice Address - Country:US
Practice Address - Phone:808-623-7109
Practice Address - Fax:808-623-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI46360163W00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI4044845OtherGE LICENSE