| Kalele Care Services Llc | |
|
45-181 Waikalua Rd Kaneohe HI 96744-2765 | |
| (808) 247-0003 | |
| Not Available |
| Full Name | Kalele Care Services Llc |
|---|---|
| Speciality | Case Management |
| Location | 45-181 Waikalua Rd, Kaneohe, Hawaii |
| Authorized Official Name and Position | Randall Hata (VP) |
| Authorized Official Contact | 8082862060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalele Care Services Llc 45-181 Waikalua Rd Kaneohe HI 96744-2765 Ph: (808) 247-0003 | Kalele Care Services Llc 45-181 Waikalua Rd Kaneohe HI 96744-2765 Ph: (808) 247-0003 |
| NPI Number | 1861089906 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/10/2025 |
| Medicare PECOS PAC ID | 6406251917 |
|---|---|
| Medicare Enrollment ID | O20210821000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861089906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| Provider Name | Joyce Angelie Della |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487246864 PECOS PAC ID: 9335544626 Enrollment ID: I20210825001262 |
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