Healthcare Provider Details

I. General information

NPI: 1447527825
Provider Name (Legal Business Name): ALTERNATIVE CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2011
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2153 N KING ST SUITE 102A
HONOLULU HI
96819-4553
US

IV. Provider business mailing address

2153 N KING ST SUITE 102A
HONOLULU HI
96819-4553
US

V. Phone/Fax

Practice location:
  • Phone: 808-848-2779
  • Fax: 808-848-2781
Mailing address:
  • Phone: 808-848-2779
  • Fax: 808-848-2781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number10694160
License Number StateHI

VIII. Authorized Official

Name: MR. JOHN CADAVONA
Title or Position: ASSISTANT EXECUTIVE DIRECTOR
Credential:
Phone: 808-848-2779