Provider Demographics
NPI:1679378301
Name:ALOHA CCP, INC
Entity type:Organization
Organization Name:ALOHA CCP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HIAWATTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:910-777-7348
Mailing Address - Street 1:158 OLD PLANK RD APT J
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-7537
Mailing Address - Country:US
Mailing Address - Phone:910-777-7348
Mailing Address - Fax:
Practice Address - Street 1:158 OLD PLANK RD APT J
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-7537
Practice Address - Country:US
Practice Address - Phone:910-777-7348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care