Provider Demographics
NPI:1407470842
Name:RESCARE HAWAII, LLC
Entity Type:Organization
Organization Name:RESCARE HAWAII, LLC
Other - Org Name:SLK HANA OLA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:GONZALES
Authorized Official - Last Name:FLORMATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-729-8591
Mailing Address - Street 1:94-1161 HEAHEA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4713
Mailing Address - Country:US
Mailing Address - Phone:808-772-4756
Mailing Address - Fax:808-772-4757
Practice Address - Street 1:94-1161 HEAHEA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4713
Practice Address - Country:US
Practice Address - Phone:808-772-4756
Practice Address - Fax:808-772-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty