Healthcare Provider Details

I. General information

NPI: 1972607976
Provider Name (Legal Business Name): GAMMIE HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

292 ALAMAHA ST
KAHULUI HI
96732-2418
US

IV. Provider business mailing address

292 ALAMAHA ST
KAHULUI HI
96732-2418
US

V. Phone/Fax

Practice location:
  • Phone: 808-877-4032
  • Fax: 808-877-3359
Mailing address:
  • Phone: 808-877-4032
  • Fax: 808-877-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateHI

VIII. Authorized Official

Name: WENDY RUSSALESI
Title or Position: CCO
Credential:
Phone: 484-246-9499