OrganizationKe'Ena Mauliola Nele Paia LlcClinic/CenterAmbulatory Health Care FacilitiesPractice Address615 Piikoi St, Suite 511, Honolulu, HI 96814-3116(808) 593-7703PECOS EnrollmentBased on the most recent information from CMS, provider Ke'Ena Mauliola Nele Paia Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:15 AM.Profile DetailsProvider ID1417122524Provider TypeOrganizationFull NameKe'Ena Mauliola Nele Paia LlcSubpartNoEnumeration Date4/29/2008Last Updated7/23/2011Contact InformationPractice LocationPractice Address615 Piikoi St, Suite 511, Honolulu, HI 96814-3116Phone(808) 593-7703Fax(808) 593-7703Mailing LocationMailing Address615 Piikoi St, Suite 511, Honolulu, HI 96814-3116Phone(808) 593-7703Fax(808) 593-7703Authorized OfficialNameBrandman, Jd Wailua (Owner)Phone(808) 593-7703Provider TaxonomiesCodeDescriptionLicenseCode261QM0850XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseAPRN13HawaiiProvider IdentifiersIDDescriptionIssuerID1336100049DescriptionOtherIssuerNPIID25092001DescriptionMedicaidIssuerUnlistedHawaii