# KAMA'AINA HOME AND COMMUNITY BASED SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114517331
- **Authorized official:** MR. RICHARD TSUGIO HIOKI JR. (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (808) 294-3189

## Contact information

- **Practice address:** 94-307 FARRINGTON HWY., SUITE A-09, WAIPAHU, HI 96797-2500
- **Practice address phone:** (808) 294-3189
- **Practice address fax:** (808) 888-6058
- **Mailing address:** 94-307 FARRINGTON HWY., SUITE A-09, WAIPAHU, HI 96797-2500
- **Mailing address phone:** (808) 294-3189
- **Mailing address fax:** (808) 888-6058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2021
- **Last updated:** 01/21/2021