Provider Demographics
NPI:1104409440
Name:OHANA CARES LLC
Entity type:Organization
Organization Name:OHANA CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-671-5881
Mailing Address - Street 1:8894 N FRANKLIN DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-5468
Mailing Address - Country:US
Mailing Address - Phone:801-671-6746
Mailing Address - Fax:
Practice Address - Street 1:8894 N FRANKLIN DR
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5468
Practice Address - Country:US
Practice Address - Phone:801-671-6746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency