Provider Demographics
NPI:1518555473
Name:UNICARE HAWAII, INCORPORATED
Entity Type:Organization
Organization Name:UNICARE HAWAII, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCELINO
Authorized Official - Middle Name:G
Authorized Official - Last Name:PACSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-871-5556
Mailing Address - Street 1:260 KAMEHAMEHA AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2859
Mailing Address - Country:US
Mailing Address - Phone:808-871-5556
Mailing Address - Fax:
Practice Address - Street 1:260 KAMEHAMEHA AVE STE 210
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2859
Practice Address - Country:US
Practice Address - Phone:808-871-5556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care