Healthcare Provider Details

I. General information

NPI: 1992212427
Provider Name (Legal Business Name): AMERICARE HAWAII, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 10/20/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

296 ALAMAHA ST STE AB
KAHULUI HI
96732-2412
US

IV. Provider business mailing address

PO BOX 5091
KAHULUI HI
96733-5091
US

V. Phone/Fax

Practice location:
  • Phone: 808-893-2152
  • Fax: 808-893-2153
Mailing address:
  • Phone: 808-893-2152
  • Fax: 808-893-2153

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. MARCELINO GARCIA PACSON
Title or Position: CEO
Credential:
Phone: 808-893-2152