=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437348489
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOTHER'S HANDS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/16/2007
-----------------------------------------------------
Last Update Date | 02/02/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3681 BALDWIN AVE # H101
-----------------------------------------------------
City | MAKAWAO
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96768-9546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-573-1677
-----------------------------------------------------
Fax | 808-573-6377
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1041
-----------------------------------------------------
City | MAKAWAO
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96768-1041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-573-1677
-----------------------------------------------------
Fax | 808-573-6377
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. EVE TAMAR BERMAN
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 808-573-1677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM2500X
-----------------------------------------------------
Taxonomy Name | Medical Specialty Clinic/Center
-----------------------------------------------------
License Number | DOS 954
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------