Provider Demographics
NPI:1225224603
Name:MAXI MOBILITY LLC
Entity Type:Organization
Organization Name:MAXI MOBILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:KENJI
Authorized Official - Last Name:HASHIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-275-1207
Mailing Address - Street 1:777 SO HOTEL ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2513
Mailing Address - Country:US
Mailing Address - Phone:808-275-1207
Mailing Address - Fax:808-275-1209
Practice Address - Street 1:777 S HOTEL ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2513
Practice Address - Country:US
Practice Address - Phone:808-275-1207
Practice Address - Fax:808-275-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW04739028-03332BC3200X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment