NPIMap

Organization Active NPI

Total Home Care, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Honolulu, HI
National Provider Identifier
1194701243
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
W2056705401 Issued in HI
Legal business name
TOTAL HOME CARE, INC.
Practice address
740 Moowaa St Ste F
Honolulu, HI 96817-4428
Phone
(808) 848-5197
Fax
(808) 842-1552
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Kevin Glick, RPHNPI 1104316215
Title
President
Phone
(808) 245-1864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X W2056705401 HI Primary

Addresses

Primary practice location

740 Moowaa St Ste F
Honolulu, HI 96817-4428

Mailing address

4473 Pahee St
Suite I
Lihue, HI 96766-2037
Phone (808) 848-5197

National Provider Directory

National Provider Directory

Locations

740 Moowaa St
Ste F
Honolulu, HI 96817
Phone (808) 848-5197

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1194701243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 PAHEE ST",
            "address_2": "SUITE I",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662037",
            "telephone_number": "808-848-5197",
            "fax_number": "808-842-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MOOWAA ST STE F",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174428",
            "telephone_number": "808-848-5197",
            "fax_number": "808-842-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-245-1864",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "HI",
            "license": "W2056705401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2008; 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.