Provider Demographics
NPI:1558668509
Name:HEALTHY HANDS HAWAII LLC
Entity Type:Organization
Organization Name:HEALTHY HANDS HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:GODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:808-445-4428
Mailing Address - Street 1:95-390 KUAHELANI AVENUE
Mailing Address - Street 2:#1C
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1192
Mailing Address - Country:US
Mailing Address - Phone:808-445-4428
Mailing Address - Fax:866-637-9592
Practice Address - Street 1:95-390 KUAHELANI AVENUE
Practice Address - Street 2:#1C
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1192
Practice Address - Country:US
Practice Address - Phone:808-445-4428
Practice Address - Fax:866-637-9592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-26
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIW94113936-01OtherGET
HIW94113936-01OtherGET