Healthcare Provider Details

I. General information

NPI: 1801456983
Provider Name (Legal Business Name): DASHER CORPORATION DBA HOME INSTEAD SENIOR CARE #727
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 212
HONOLULU HI
96814-3876
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD STE 212
HONOLULU HI
96814-3876
US

V. Phone/Fax

Practice location:
  • Phone: 808-944-0422
  • Fax: 808-944-0421
Mailing address:
  • Phone: 808-944-0422
  • Fax: 808-944-0421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PAUL DZIUBAN
Title or Position: PRESIDENT
Credential:
Phone: 808-944-0422