Hale Kokua, Inc. in San Mateo - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Hale Kokua, Inc. - NPI 1073710976
Hale Kokua, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in San Mateo, California. Hale Kokua, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Hale Kokua, Inc. is 1073710976. The last update date is 2015-01-21.
Hale Kokua, Inc.'s current location address is 1433 Dakota Avenue, San Mateo, California. You can contact this provider via phone number 6506854779 and fax number 6506274357. The mailing address for Hale Kokua, Inc. is 1433 Dakota Avenue, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hale Kokua, Inc. |
|---|---|
| Address | 1433 Dakota Avenue, San Mateo, California |
| Phone Number | 6506854779 |
| Fax Number | 6506274357 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ganio A. Pureza |
| Telephone Number | 6505205545 |
NPI Number Detail
| NPI Number | 1073710976 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2015-01-21 |
Provider Mailing Address Detail
| Address | 1433 Dakota Avenue |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 94401 |
| Phone Number | 6506854779 |
| Fax Number | 6506274357 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 220000232 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC60789H | CA | PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Hale Kokua, Inc. by the Centers for Medicare & Medicaid Services?
The Hale Kokua, Inc. has been issued the NPI (National Provider Identifier) 1073710976. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Hale Kokua, Inc. is located?
The Hale Kokua, Inc. is situated at the following address: 1433 Dakota Avenue, San Mateo, CA, 94401.
What is Hale Kokua, Inc.'s area of expertise and its corresponding taxonomy classification?
The Hale Kokua, Inc.'s field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
When was the Hale Kokua, Inc.'s 1073710976 issued?
The Hale Kokua, Inc.'s 1073710976 was issued on 2007-07-02.
As of what date were the details pertaining to Hale Kokua, Inc. last refreshed?
The information related to the Hale Kokua, Inc., including its address, specialty, and other relevant details, was last updated on 2015-01-21.