Provider Demographics
NPI:1013354638
Name:HAWAII HOME CARE INC
Entity Type:Organization
Organization Name:HAWAII HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-695-2220
Mailing Address - Street 1:700 BISHOP ST STE 610
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4124
Mailing Address - Country:US
Mailing Address - Phone:808-927-5092
Mailing Address - Fax:
Practice Address - Street 1:700 BISHOP ST STE 610
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4124
Practice Address - Country:US
Practice Address - Phone:808-927-5092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIHEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-23
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIHHA-1Medicaid