Healthcare Provider Details

I. General information

NPI: 1063838787
Provider Name (Legal Business Name): CARE HAWAII, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2014
Last Update Date: 03/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 APOKE ST
HILO HI
96720-1647
US

IV. Provider business mailing address

875 WAIMANU ST SUITE 614
HONOLULU HI
96813-5248
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3936
  • Fax:
Mailing address:
  • Phone: 808-533-3936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARIA KINSLER
Title or Position: CEO
Credential:
Phone: 808-533-3936