Provider Demographics
NPI:1326775701
Name:OHANA HEALTH LLC
Entity type:Organization
Organization Name:OHANA HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VACIANNA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:210-201-4327
Mailing Address - Street 1:11355 US HIGHWAY 87 S UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ADKINS
Mailing Address - State:TX
Mailing Address - Zip Code:78101-1851
Mailing Address - Country:US
Mailing Address - Phone:210-201-4327
Mailing Address - Fax:
Practice Address - Street 1:11355 US HIGHWAY 87 S UNIT 2
Practice Address - Street 2:
Practice Address - City:ADKINS
Practice Address - State:TX
Practice Address - Zip Code:78101-1851
Practice Address - Country:US
Practice Address - Phone:210-201-4327
Practice Address - Fax:949-437-2183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty