Provider Demographics
NPI:1457934440
Name:FAITHCARE, LLC
Entity Type:Organization
Organization Name:FAITHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JUN LYNARD
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:TUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-799-5289
Mailing Address - Street 1:1211 ALEWA DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1511
Mailing Address - Country:US
Mailing Address - Phone:808-312-4220
Mailing Address - Fax:808-312-4220
Practice Address - Street 1:1211 ALEWA DR
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1511
Practice Address - Country:US
Practice Address - Phone:808-312-4220
Practice Address - Fax:808-312-4220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty