Provider Demographics
NPI:1326660507
Name:ECARE HAWAII LLC
Entity Type:Organization
Organization Name:ECARE HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCHIZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-797-3113
Mailing Address - Street 1:670 PONAHAWAI ST STE 117
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7831
Mailing Address - Country:US
Mailing Address - Phone:808-797-3113
Mailing Address - Fax:808-935-4472
Practice Address - Street 1:633 PONAHAWAI ST STE 101
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7601
Practice Address - Country:US
Practice Address - Phone:808-885-3627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty