Provider Demographics
NPI:1558013953
Name:UNICARE HAWAII INCORPORATED
Entity Type:Organization
Organization Name:UNICARE HAWAII INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY / TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ANN LORELEI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-871-5556
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-6663
Mailing Address - Country:US
Mailing Address - Phone:808-871-5556
Mailing Address - Fax:808-871-5557
Practice Address - Street 1:296 ALAMAHA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2412
Practice Address - Country:US
Practice Address - Phone:808-871-5556
Practice Address - Fax:808-871-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care