Provider Demographics
NPI:1457394074
Name:WEST HAWAII HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:WEST HAWAII HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-470-0042
Mailing Address - Street 1:81-990 HALEKII STREET
Mailing Address - Street 2:UNIT 100
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-0291
Mailing Address - Country:US
Mailing Address - Phone:808-328-9883
Mailing Address - Fax:808-328-8052
Practice Address - Street 1:81-990 HALEKII ST UNIT 100
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-5006
Practice Address - Country:US
Practice Address - Phone:808-328-9883
Practice Address - Fax:808-328-8052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHHA-33251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
127027Medicare ID - Type Unspecified