Careresource Hawaii
Organization Active NPI Nursing Care Agency · Honolulu, HI
NPI 1306046602 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1306046602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- Legal business name
- CARERESOURCE HAWAII
- Practice address
- 680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388 - Phone
- (808) 534-4224
- Fax
- (808) 531-2832
- NPI assigned
- Jul 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Thad Wakasugi
- Title
- Controller
- Phone
- (808) 599-9999
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Careresource Hawaii
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-16 | HI | |
| Nursing Care Agency | 251J00000X | Yes |
Addresses
Primary practice location
680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388
Mailing address
680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388
Phone (808) 599-4999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 533390-01 | Medicaid | HI | |
| 533390-05 | Medicaid | HI | |
| 533390-03 | Medicaid | HI | |
| 533390-04 | Medicaid | HI | |
| 533390-02 | Medicaid | HI |
Other providers in Honolulu, HI
- Care Hawaii, Inc.
- Carehalo West LLC
- Caremark LLC
- Careresource Hawaii
- Careresource Hawaii
- Michael Carethers
- Keely Christine Paola Carey
- Carissa K Cariaga
- Kellyjean Cariaga
- Karin Carido
All providers in Honolulu, HI · Nursing 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 Sep 21, 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.