Provider Demographics
NPI:1164139861
Name:HAWAII 17 COMFORT COMPANIONS LLC
Entity Type:Organization
Organization Name:HAWAII 17 COMFORT COMPANIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-600-6475
Mailing Address - Street 1:1031 MAUNAIHI PL APT 803
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3412
Mailing Address - Country:US
Mailing Address - Phone:808-600-6475
Mailing Address - Fax:
Practice Address - Street 1:1031 MAUNAIHI PL APT 803
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3412
Practice Address - Country:US
Practice Address - Phone:808-600-6475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care