Provider Demographics
NPI:1568881894
Name:AMERICARE HAWAII, LLC
Entity Type:Organization
Organization Name:AMERICARE HAWAII, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MINERVA
Authorized Official - Middle Name:PURUGGANAN
Authorized Official - Last Name:BORJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-214-8666
Mailing Address - Street 1:283 LALO ST STE 220
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-2928
Mailing Address - Country:US
Mailing Address - Phone:808-893-2152
Mailing Address - Fax:808-893-2153
Practice Address - Street 1:283 LALO ST STE 220
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2928
Practice Address - Country:US
Practice Address - Phone:808-893-2152
Practice Address - Fax:808-893-2153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1853725-01251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health