Provider Demographics
NPI:1922399393
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:GEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AYIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-979-6903
Mailing Address - Street 1:606 CORAL ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5135
Mailing Address - Country:US
Mailing Address - Phone:808-533-3936
Mailing Address - Fax:
Practice Address - Street 1:875 WAIMANU ST STE 614
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5267
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251S00000X
HIW20547566-01251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
Yes251S00000XAgenciesCommunity/Behavioral Health