Healthcare Provider Details

I. General information

NPI: 1013473933
Provider Name (Legal Business Name): HAWAII SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/26/2022
Certification Date: 02/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1164 BISHOP ST. STE 1505
HONOLULU HI
96813-2856
US

IV. Provider business mailing address

1164 BISHOP ST. STE 1505
HONOLULU HI
96813-2856
US

V. Phone/Fax

Practice location:
  • Phone: 808-745-3098
  • Fax: 808-748-0732
Mailing address:
  • Phone: 808-745-3098
  • Fax: 808-748-0732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DESMOND DELCE
Title or Position: GENERAL MANAGER
Credential:
Phone: 808-745-3098