Healthcare Provider Details

I. General information

NPI: 1215948914
Provider Name (Legal Business Name): ST. FRANCIS COMMUNITY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/21/2022
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 LILIHA ST STE 406
HONOLULU HI
96817-1654
US

IV. Provider business mailing address

PO BOX 29700
HONOLULU HI
96820-2100
US

V. Phone/Fax

Practice location:
  • Phone: 808-595-7566
  • Fax: 808-676-1220
Mailing address:
  • Phone: 808-595-7566
  • Fax: 808-595-6996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License NumberN/A
License Number State
# 2
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License NumberN/A
License Number State

VIII. Authorized Official

Name: MELISSA AH HO-MAUGA
Title or Position: VP - CLIENT SERVICES
Credential:
Phone: 808-547-8050