Provider Demographics
NPI:1285186783
Name:PK CARE LLC
Entity Type:Organization
Organization Name:PK CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-781-5200
Mailing Address - Street 1:1 KEAHOLE PL APT 2505
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-3419
Mailing Address - Country:US
Mailing Address - Phone:808-781-5200
Mailing Address - Fax:
Practice Address - Street 1:1 KEAHOLE PL APT 2505
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96825-3419
Practice Address - Country:US
Practice Address - Phone:808-781-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care