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NPI Code Detail

MEDICARE: HOMECARE SERVICES HI LLC

MEDICARE: HOMECARE SERVICES HI LLC
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1669304135
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMECARE SERVICES HI LLC
Provider Business Mailing Address
First Line : PO BOX 492784
Second Line :
City : KEAAU
State : HI
Zip : 96749-2784
Country : US
Telephone Number : 808-640-2692
Fax Number :
Provider Business Practice Location Address
First Line : 700 MANONO ST
Second Line :
City : HILO
State : HI
Zip : 96720-4498
Country : US
Telephone Number : 808-640-2692
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRYSTY KUBOJIRI
Credential :
Telephone Number : 808-640-2692
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “HOMECARE SERVICES HI LLC ” Practice Location

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