Healthcare Provider Details

I. General information

NPI: 1871096826
Provider Name (Legal Business Name): HO'OKELE HEALTH NAVIGATORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 S BERETANIA ST STE 304
HONOLULU HI
96814-1802
US

IV. Provider business mailing address

1345 S BERETANIA ST STE 304
HONOLULU HI
96814-1802
US

V. Phone/Fax

Practice location:
  • Phone: 808-457-1657
  • Fax:
Mailing address:
  • Phone: 808-457-1657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number0752009216401
License Number StateHI

VIII. Authorized Official

Name: BONNIE K CASTONGUAY
Title or Position: PRESIDENT
Credential: RN
Phone: 808-457-1657