Healthcare Provider Details

I. General information

NPI: 1821346032
Provider Name (Legal Business Name): HO'OKELE CARE AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2012
Last Update Date: 08/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 S BERETANIA ST STE 205
HONOLULU HI
96814-1520
US

IV. Provider business mailing address

1360 S BERETANIA ST STE 205
HONOLULU HI
96814-1520
US

V. Phone/Fax

Practice location:
  • Phone: 808-457-1655
  • Fax: 808-535-1547
Mailing address:
  • Phone: 808-457-1655
  • Fax: 808-535-1547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BONNIE K CASTONGUAY
Title or Position: CO-FOUNDER/CEO
Credential: RN
Phone: 808-457-1657