Provider Demographics
NPI:1134753734
Name:MAKENA'S HOPE INCORPORATED
Entity type:Organization
Organization Name:MAKENA'S HOPE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAYUKWA
Authorized Official - Middle Name:SAMMY
Authorized Official - Last Name:KASHIWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-802-2495
Mailing Address - Street 1:111 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-1441
Mailing Address - Country:US
Mailing Address - Phone:585-802-2495
Mailing Address - Fax:
Practice Address - Street 1:111 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14604-1441
Practice Address - Country:US
Practice Address - Phone:585-802-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency