Provider Demographics
NPI:1760088439
Name:ALL CARE HAWAII, LLC.
Entity Type:Organization
Organization Name:ALL CARE HAWAII, LLC.
Other - Org Name:ALL CARE HAWAII, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-206-8409
Mailing Address - Street 1:4348 WAIALAE AVE # 152
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-206-8409
Mailing Address - Fax:808-762-0729
Practice Address - Street 1:118 KUPUOHI ST STE C4
Practice Address - Street 2:
Practice Address - City:LAHAINA
Practice Address - State:HI
Practice Address - Zip Code:96761-2706
Practice Address - Country:US
Practice Address - Phone:808-206-8409
Practice Address - Fax:808-762-0729
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL CARE HAWAII, LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-08
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI808149Medicaid