Provider Demographics
NPI:1609601871
Name:OHANA CARE LLC
Entity type:Organization
Organization Name:OHANA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAENIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-402-9460
Mailing Address - Street 1:2406 178TH ST E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-4217
Mailing Address - Country:US
Mailing Address - Phone:510-402-9460
Mailing Address - Fax:253-242-5068
Practice Address - Street 1:2406 178TH ST E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-4217
Practice Address - Country:US
Practice Address - Phone:510-402-9460
Practice Address - Fax:253-242-5068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies