Organization Active NPI

Hawaii Professionals Homecare Services Inc.

Doing business as Hawaii Professional Homecare

  • Home Health Agency
  • Honolulu, HI
National Provider Identifier
1063481794
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA35 Issued in HI
Legal business name
HAWAII PROFESSIONALS HOMECARE SERVICES INC.
Doing business as
Hawaii Professional Homecare
Practice address
377 Keahole Street Suite E106
Honolulu, HI 96825-3412
Phone
(808) 396-2160
Fax
(808) 396-2161
NPI assigned
Mar 15, 2006
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carolyn Frutoz-Deharne, RN
Title
Ceo
Phone
(808) 245-7211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA35 HI Primary

Addresses

Primary practice location

377 Keahole Street Suite E106
Honolulu, HI 96825-3412

Mailing address

377 Keahole Street Suite E106
Honolulu, HI 96825-3412
Phone (808) 396-2160

Other identifiers 2

IdentifierTypeStateIssuer
00226100OtherHIHMSA PIN
52316901MedicaidHI

Other names 1

  • Hawaii Professional Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

377 Keahole St
Ste E106
Honolulu, HI 96825
Phone (808) 396-2160

2970 Kele St
Ste 213
Lihue, HI 96766
Phone (808) 245-7211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1063481794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE STREET SUITE E106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253412",
            "telephone_number": "808-396-2160",
            "fax_number": "808-396-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 KEAHOLE STREET SUITE E106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253412",
            "telephone_number": "808-396-2160",
            "fax_number": "808-396-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PROFESSIONALS HOMECARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "FRUTOZ-DEHARNE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-245-7211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": "HHA35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "00226100",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52316901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Professional Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.