Basic Information
| Provider Information | |||||||||
| NPI: | 1770219842 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARE HAWAII, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 875 WAIMANU ST STE 614 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135267 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085333936 | ||||||||
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| Practice Location | |||||||||
| Address1: | 875 WAIMANU ST STE 614 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135267 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085333936 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/29/2022 | ||||||||
| LastUpdateDate: | 07/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | AYIN | ||||||||
| AuthorizedOfficialFirstName: | GENEVIEVE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8087916183 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | N | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 225244 | 01 | HI | HMA, INC. | OTHER | --------- | 01 | HI | ALOHACARE QUEST | OTHER | 569642 | 05 | HI | MEDICAID | 0000230573 | 01 | HI | HMSA | OTHER |