Provider Demographics
NPI:1093496556
Name:A&A CASE MANAGEMENT SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:A&A CASE MANAGEMENT SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERDIDO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:808-228-9120
Mailing Address - Street 1:1188 BISHOP ST STE 1804
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3307
Mailing Address - Country:US
Mailing Address - Phone:808-744-0335
Mailing Address - Fax:808-744-1235
Practice Address - Street 1:1188 BISHOP ST STE 1804
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3307
Practice Address - Country:US
Practice Address - Phone:808-744-0335
Practice Address - Fax:808-744-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management