Healthcare Provider Details

I. General information

NPI: 1457506560
Provider Name (Legal Business Name): HARMONY HANDI TRANS, INC. DBA HARMONY AMBULETTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 OWAWA STREET
HONOLULU HI
96819-4223
US

IV. Provider business mailing address

1631 OWAWA STREET
HONOLULU HI
96819-4223
US

V. Phone/Fax

Practice location:
  • Phone: 808-853-7973
  • Fax: 808-848-8087
Mailing address:
  • Phone: 808-853-7973
  • Fax: 808-848-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberW73296046-01
License Number StateHI

VIII. Authorized Official

Name: OMAR CARINO DIAZ
Title or Position: VICE PRESIDENT/DIRECTOR
Credential: RCP
Phone: 808-853-7973