Healthcare Provider Details

I. General information

NPI: 1962338806
Provider Name (Legal Business Name): MOTHER HAWAII CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD STE 1322
HONOLULU HI
96814-3898
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD STE 1322
HONOLULU HI
96814-3898
US

V. Phone/Fax

Practice location:
  • Phone: 808-923-0077
  • Fax: 808-923-0088
Mailing address:
  • Phone: 808-923-0077
  • Fax: 808-923-0088

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: MR. EISHO HAYASHI
Title or Position: SUPERVISOR
Credential: NA
Phone: 808-923-0077