Healthcare Provider Details
I. General information
NPI: 1437372117
Provider Name (Legal Business Name): COMMUNITY EMPOWERMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1419 16TH AVE
HONOLULU HI
96816-4303
US
IV. Provider business mailing address
1419 16TH AVE
HONOLULU HI
96816-4303
US
V. Phone/Fax
- Phone: 808-383-2597
- Fax:
- Phone: 808-383-2597
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MOHAMMED
JAN
RUMI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.S.
Phone: 808-383-2597