Provider Demographics
NPI:1013473933
Name:HAWAII SENIOR CARE LLC
Entity Type:Organization
Organization Name:HAWAII SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DESMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:DELCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-745-3098
Mailing Address - Street 1:1164 BISHOP ST.
Mailing Address - Street 2:STE 1505
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2856
Mailing Address - Country:US
Mailing Address - Phone:808-745-3098
Mailing Address - Fax:808-748-0732
Practice Address - Street 1:1164 BISHOP ST.
Practice Address - Street 2:STE 1505
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2856
Practice Address - Country:US
Practice Address - Phone:808-745-3098
Practice Address - Fax:808-748-0732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2022-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI13-HCAOtherHAWAII DEPARTMENT OF HEALTH