Healthcare Provider Details

I. General information

NPI: 1285368860
Provider Name (Legal Business Name): HOSPICE HAWAII, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 IWILEI RD STE 660
HONOLULU HI
96817-5392
US

IV. Provider business mailing address

680 IWILEI RD STE 660
HONOLULU HI
96817-5392
US

V. Phone/Fax

Practice location:
  • Phone: 808-924-9255
  • Fax: 808-791-8049
Mailing address:
  • Phone: 808-924-9255
  • Fax: 808-791-8049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JODY KIAMBAO
Title or Position: BUSINESS AND FINANCE MANAGER
Credential:
Phone: 808-383-3996