Provider Demographics
NPI:1770219842
Name:CARE HAWAII, INC.
Entity Type:Organization
Organization Name:CARE HAWAII, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-791-6183
Mailing Address - Street 1:1345 S BERETANIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1802
Mailing Address - Country:US
Mailing Address - Phone:808-533-3936
Mailing Address - Fax:808-460-8860
Practice Address - Street 1:197 SAND ISLAND ACCESS RD STE 202
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4901
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:808-460-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-29
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI225244OtherHMA, INC.
HI---------OtherALOHACARE QUEST
HI0000230573OtherHMSA
HI569642Medicaid