Healthcare Provider Details

I. General information

NPI: 1609793629
Provider Name (Legal Business Name): HEARING SANCTUARY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 KUKUI GROVE ST STE 101
LIHUE HI
96766-1601
US

IV. Provider business mailing address

4405 KUKUI GROVE ST STE 101
LIHUE HI
96766-1601
US

V. Phone/Fax

Practice location:
  • Phone: 808-246-3716
  • Fax: 808-246-6160
Mailing address:
  • Phone: 808-246-3716
  • Fax: 808-246-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: STACEY FOUCHE
Title or Position: MANAGING
Credential:
Phone: 772-971-7414