3G'S Direct Care Services Provider LLC
Organization Active NPI In Home Supportive Care Agency · Ewa Beach, HI
NPI 1164035820 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1164035820
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 3G'S DIRECT CARE SERVICES PROVIDER LLC
- Practice address
- 91-692 Makalea St
Ewa Beach, HI 96706-5944 - Phone
- (808) 683-3867
- NPI assigned
- Aug 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Gloria Quiling Raymundo
- Title
- President
- Phone
- (808) 294-1402
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- 3G'S Direct Care Services Provider LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
91-692 Makalea St
Ewa Beach, HI 96706-5944
Mailing address
91-692 Makalea St
Ewa Beach, HI 96706-5944
Phone (808) 683-3867
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All providers in Ewa Beach, HI · In Home Supportive Care Agency in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.