Provider Demographics
NPI:1992212427
Name:AMERICARE HAWAII, INCORPORATED
Entity Type:Organization
Organization Name:AMERICARE HAWAII, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCELINO
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:PACSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-893-2152
Mailing Address - Street 1:PO BOX 5091
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-5091
Mailing Address - Country:US
Mailing Address - Phone:808-893-2152
Mailing Address - Fax:808-893-2153
Practice Address - Street 1:296 ALAMAHA ST STE AB
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2412
Practice Address - Country:US
Practice Address - Phone:808-893-2152
Practice Address - Fax:808-893-2153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care