Healthcare Provider Details

I. General information

NPI: 1770219842
Provider Name (Legal Business Name): CARE HAWAII, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 SAND ISLAND ACCESS RD STE 202
HONOLULU HI
96819-4901
US

IV. Provider business mailing address

1345 S BERETANIA ST
HONOLULU HI
96814-1802
US

V. Phone/Fax

Practice location:
  • Phone: 808-533-3936
  • Fax: 808-460-8867
Mailing address:
  • Phone: 808-533-3936
  • Fax: 808-460-8860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GENEVIEVE AYIN
Title or Position: CFO
Credential:
Phone: 808-791-6183