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HALE MAKUA - SUPPLIER
NPI 1790902120
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Kahului, HI

Active since April 19, 2007CLIA 12D0678725 · Waiver
472 KAULANA ST, KAHULUI, HI 96732(808) 877-2761(808) 871-9262 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hale Makua - Supplier NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALE MAKUA - SUPPLIER (NPI 1790902120) is a healthcare organization registered as a parenteral & enteral nutrition in Kahului, Hawaii and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Wesley Lo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1790902120
Entity TypeOrganization
Primary Taxonomy332BP3500X
Legal Business NameHALE MAKUA
Location Address472 KAULANA STKahului, HI 96732-2050
Mailing Address472 Kaulana StKahului, HI 96732-2050 · (808) 877-2761 · Fax (808) 871-9262
Phone(808) 877-2761
Fax(808) 871-9262
Organization SubpartNo
Authorized OfficialWesley LoChief Executive Officer · (808) 877-2761
Enumeration DateApril 19, 2007
Last NPPES UpdateMarch 24, 2017
✔ NPI 1790902120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers
Taxonomy Code332BP3500X
472 KAULANA ST, Kahului, HI 96732
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Other Names 1

Other NameHale Makua - Supplier

Other Identifiers 2

Medicare ID-Type Unspecified3849960001HI
Other00K0043634HI · Hmsa Enterals

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D0678725

Hale Makua Kahului · Kahului, HI
Active · expires Aug 31, 2026
CLIA Number12D0678725
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMathew Robello
Laboratory Phone(808) 873-6600
Laboratory LocationHale Makua Kahului472 Kaulana Street, Kahului, HI 96732
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KASEY BATTERTON OTR
Occupational Therapist
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-7840
MELODY ANDREU
Occupational Therapist
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-7840
JILL D SEXTON SP
Speech-Language Pathologist
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-2761
HALE MAKUA HEALTH SERVICES
Clinic/Center (Adult Day Care)
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-2761
MARY PAT RAHER
Physical Therapy Assistant
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-7874
MS. RACHEL FIELDER MS, CCC-SLP
Speech-Language Pathologist
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-2761
NICHOLAS ALEXANDER ATKINSON AGPCNP
Nurse Practitioner (Adult Health)
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-2761
JENNIFER C BAN OT
Occupational Therapist
472 KAULANA ST
KAHULUI, HI 96732
Maui County (808) 877-2761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hale Makua's NPI number?

The NPI number for Hale Makua is 1790902120. It was assigned to this organization in the NPPES registry on April 19, 2007. The provider is also known as Hale Makua - Supplier.

Where is Hale Makua located?

Hale Makua is located at 472 Kaulana St, Kahului, HI 96732. The listed phone number is (808) 877-2761.

What is Hale Makua's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

Does Hale Makua hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0678725) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hale Makua was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.