Provider Demographics
NPI:1295046456
Name:OHANA LLC
Entity type:Organization
Organization Name:OHANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:AH YOU
Authorized Official - Last Name:SUAMATAIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-768-9568
Mailing Address - Street 1:3381 WEST MAYFLOWER AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4917
Mailing Address - Country:US
Mailing Address - Phone:801-768-9568
Mailing Address - Fax:801-768-1093
Practice Address - Street 1:3381 WEST MAYFLOWER AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-4917
Practice Address - Country:US
Practice Address - Phone:801-768-9568
Practice Address - Fax:801-768-1093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT16606253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency