MEDICARE: ABSOLUTE CARE HAWAII INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356034581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE CARE HAWAII INC

Provider Business Mailing Address
First Line	:	91-1121 KEAUNUI DR
Second Line	:	STE 108 PMB 194
City	:	EWA BEACH
State	:	HI
Zip	:	96706
Country	:	US
Telephone Number	:	808-913-4322
Fax Number	:

Provider Business Practice Location Address
First Line	:	91-1059 KAIMOANA ST
Second Line	:
City	:	EWA BEACH
State	:	HI
Zip	:	96706-6073
Country	:	US
Telephone Number	:	808-913-4322
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	BEVERLY CHAPMAN
Credential	:
Telephone Number	:	808-913-4322

Provider Enumeration Date	:	06/01/2023
Last Update Date	:	06/01/2023

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