Provider Demographics
NPI:1336807791
Name:TASS CARE LLC
Entity Type:Organization
Organization Name:TASS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWON
Authorized Official - Middle Name:SYED MUJIBOR
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-909-2099
Mailing Address - Street 1:137 W PUAINAKO ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5366
Mailing Address - Country:US
Mailing Address - Phone:808-909-2099
Mailing Address - Fax:808-900-7199
Practice Address - Street 1:137 W PUAINAKO ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5366
Practice Address - Country:US
Practice Address - Phone:808-909-2099
Practice Address - Fax:808-900-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care