Provider Demographics
NPI:1871631390
Name:RESPONSIVE CAREGIVERS OF HAWAII
Entity Type:Organization
Organization Name:RESPONSIVE CAREGIVERS OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-380-9262
Mailing Address - Street 1:91-1241 SARATOGA AVENUE
Mailing Address - Street 2:BLDG 1924
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-481-7391
Mailing Address - Fax:808-488-6952
Practice Address - Street 1:91-1241 SARATOGA AVENUE
Practice Address - Street 2:BLDG 1924
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707
Practice Address - Country:US
Practice Address - Phone:808-481-7391
Practice Address - Fax:808-488-6952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILSW356251B00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI516891Medicaid
HI52935701Medicaid
HI53332401Medicaid