Basic Information
| Provider Information | |||||||||
| NPI: | 1922399393 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | CARE HAWAII, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 606 CORAL ST FL 2 | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968135135 | ||||||||
| 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: | 04/20/2011 | ||||||||
| LastUpdateDate: | 10/18/2021 | ||||||||
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| AuthorizedOfficialLastName: | AYIN | ||||||||
| AuthorizedOfficialFirstName: | GEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8089796903 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 10/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | N | Agencies | Case Management | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.