Healthcare Provider Details

I. General information

NPI: 1730014184
Provider Name (Legal Business Name): FAMILY PROMISE OF HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N KUKUI ST STE 101
HONOLULU HI
96817-3921
US

IV. Provider business mailing address

245 N KUKUI ST STE 101
HONOLULU HI
96817-3921
US

V. Phone/Fax

Practice location:
  • Phone: 808-300-0560
  • Fax:
Mailing address:
  • Phone: 808-300-0560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ZOE BROOKS JEFFIERS
Title or Position: CHIEF OF STAFF
Credential:
Phone: 808-300-0564