OrganizationActive
Providence Living LLC
NPI 1003413097 · Substance Abuse Rehabilitation Facility · Honolulu, HI
Provider details
- NPI number
- 1003413097
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- William Heran, Ceo(808) 445-6780
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1188 Bishop St Ste 1008
Honolulu, HI 96813-3304
Phone: (808) 445-6780
Fax: (888) 373-9844
Street-level locationGet directions
Mailing address
1188 Bishop St Ste 1008
Honolulu, HI 96813-3304
Other names (DBA / former)
- Other name
- Providence Treatment
- Doing business as
- Providence Treatment
Registry dates
- Enumerated
- 2020-10-03
- Last updated
- 2021-05-07
- Certified
- 2021-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.