Provider Demographics
NPI:1821346032
Name:HO'OKELE CARE AT HOME
Entity Type:Organization
Organization Name:HO'OKELE CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:CASTONGUAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-457-1657
Mailing Address - Street 1:1360 S BERETANIA ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1520
Mailing Address - Country:US
Mailing Address - Phone:808-457-1655
Mailing Address - Fax:808-535-1547
Practice Address - Street 1:1360 S BERETANIA ST STE 205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1520
Practice Address - Country:US
Practice Address - Phone:808-457-1655
Practice Address - Fax:808-535-1547
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HO'OKELE PERSONAL HEALTH PLANNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care