Healthcare Provider Details

I. General information

NPI: 1669304135
Provider Name (Legal Business Name): HOMECARE SERVICES HI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 MANONO ST
HILO HI
96720-4498
US

IV. Provider business mailing address

PO BOX 492784
KEAAU HI
96749-2784
US

V. Phone/Fax

Practice location:
  • Phone: 808-640-2692
  • Fax:
Mailing address:
  • Phone: 808-640-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KRYSTY KUBOJIRI
Title or Position: OWNER
Credential:
Phone: 808-640-2692