Healthcare Provider Details

I. General information

NPI: 1275264582
Provider Name (Legal Business Name): UNITY HAWAII HEALTHCARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2022
Last Update Date: 06/19/2022
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 PUAKALA PL
KAHULUI HI
96732-2951
US

IV. Provider business mailing address

11 PUAKALA PL
KAHULUI HI
96732-2951
US

V. Phone/Fax

Practice location:
  • Phone: 808-463-4222
  • Fax:
Mailing address:
  • Phone: 808-463-4222
  • Fax:

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: AARON JOSHUA MARZAN
Title or Position: CO-FOUNDER
Credential: EMT,CNA
Phone: 808-463-4222