Provider Demographics
NPI:1164143194
Name:FAITHCARE, LLC
Entity Type:Organization
Organization Name:FAITHCARE, LLC
Other - Org Name:FAITHCARE HAWAII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JUN LYNARD
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:TUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-799-5289
Mailing Address - Street 1:1108 GULICK AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4513
Mailing Address - Country:US
Mailing Address - Phone:808-312-4220
Mailing Address - Fax:808-312-4220
Practice Address - Street 1:1108 GULICK AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4513
Practice Address - Country:US
Practice Address - Phone:808-312-4220
Practice Address - Fax:808-312-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care