Healthcare Provider Details

I. General information

NPI: 1265428510
Provider Name (Legal Business Name): NORTH HAWAII HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-1328 KAWAIHAE RD
KAMUELA HI
96743-8448
US

IV. Provider business mailing address

65-1328 KAWAIHAE RD
KAMUELA HI
96743-8448
US

V. Phone/Fax

Practice location:
  • Phone: 808-885-7547
  • Fax: 808-885-5592
Mailing address:
  • Phone: 808-885-7547
  • Fax: 808-885-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANYA ELISE DEAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 808-885-7547