Provider Demographics
NPI:1881431773
Name:JO KOKUA CARE INC
Entity type:Organization
Organization Name:JO KOKUA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:BELARDE
Authorized Official - Last Name:GERNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:808-696-7000
Mailing Address - Street 1:94-910 MOLOALO ST STE A
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6302
Mailing Address - Country:US
Mailing Address - Phone:808-696-7000
Mailing Address - Fax:808-696-7003
Practice Address - Street 1:94-871 FARRINGTON HWY STE 102
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3171
Practice Address - Country:US
Practice Address - Phone:808-696-7000
Practice Address - Fax:808-696-7003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-09
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services