Healthcare Provider Details

I. General information

NPI: 1063704492
Provider Name (Legal Business Name): BF INTEGRITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47-506 HAANOPU WAY
KANEOHE HI
96744-4691
US

IV. Provider business mailing address

47-506 HAANOPU WAY
KANEOHE HI
96744-4691
US

V. Phone/Fax

Practice location:
  • Phone: 808-239-4796
  • Fax: 808-239-2326
Mailing address:
  • Phone: 808-239-4796
  • Fax: 808-239-2326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number StateHI

VIII. Authorized Official

Name: MR. EUFRACIO MAYUBAY BUGARIN
Title or Position: PRIMARY CAREGIVER
Credential: CNA
Phone: 808-239-4796