Provider Demographics
NPI:1164034138
Name:MASTERCARE INC
Entity Type:Organization
Organization Name:MASTERCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:BSCE
Authorized Official - Phone:808-597-1564
Mailing Address - Street 1:1314 S KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1956
Mailing Address - Country:US
Mailing Address - Phone:808-597-1564
Mailing Address - Fax:808-597-1565
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1956
Practice Address - Country:US
Practice Address - Phone:808-597-1564
Practice Address - Fax:808-597-1565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care