Healthcare Provider Details

I. General information

NPI: 1922399393
Provider Name (Legal Business Name): CARE HAWAII, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 10/18/2021
Certification Date: 10/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 WAIMANU ST STE 614
HONOLULU HI
96813-5267
US

IV. Provider business mailing address

606 CORAL ST FL 2
HONOLULU HI
96813-5135
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3936
  • Fax:
Mailing address:
  • Phone: 808-533-3936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GEN AYIN
Title or Position: CFO
Credential:
Phone: 808-979-6903