Provider Demographics
NPI:1013429695
Name:MALAMA OHANA LLC
Entity Type:Organization
Organization Name:MALAMA OHANA LLC
Other - Org Name:OHANA HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-888-2855
Mailing Address - Street 1:3222 11TH AVE APT 313
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:CO
Mailing Address - Zip Code:80620-1546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3222 11TH AVE APT 313
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-1546
Practice Address - Country:US
Practice Address - Phone:970-888-2855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health