MEDICARE: MOTHER HAWAII CORPORATION

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1962338806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOTHER HAWAII CORPORATION

Provider Business Mailing Address
First Line	:	1600 KAPIOLANI BLVD STE 1322
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3898
Country	:	US
Telephone Number	:	808-923-0077
Fax Number	:	808-923-0088

Provider Business Practice Location Address
First Line	:	1600 KAPIOLANI BLVD STE 1322
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-3898
Country	:	US
Telephone Number	:	808-923-0077
Fax Number	:	808-923-0088

Authorized Official
Title or Position	:	SUPERVISOR
Name	:	MR. EISHO HAYASHI
Credential	:	NA
Telephone Number	:	808-923-0077

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “MOTHER HAWAII CORPORATION ” Practice Location

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