Provider Demographics
NPI:1366598476
Name:ONO ENTERPRISE LTD
Entity type:Organization
Organization Name:ONO ENTERPRISE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY AND TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:YOSHIKO ONO
Authorized Official - Last Name:FUKUMURA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CPA
Authorized Official - Phone:808-396-0537
Mailing Address - Street 1:6163 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96821-2342
Mailing Address - Country:US
Mailing Address - Phone:808-396-0537
Mailing Address - Fax:808-396-5128
Practice Address - Street 1:6163 SUMMER ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-2342
Practice Address - Country:US
Practice Address - Phone:808-396-0537
Practice Address - Fax:808-396-5128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI53-N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC000087-1OtherHMSA 65C PLUS
HI124013OtherKAISER
HI00196801Medicaid
HI00196801Medicaid