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Organization
CARERESOURCE HAWAII
Active
Organization
CARERESOURCE HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THAD WAKASUGI (CONTROLLER)
(808) 599-4999
Entity
Organization
Contact information
Practice address
680 IWILEI RD, SUITE 660, HONOLULU, HI 96817-5388
(808) 599-4999
(808) 531-2832
Mailing address
680 IWILEI RD, SUITE 660, HONOLULU, HI 96817-5388
(808) 599-4999
(808) 531-2832
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-16
HI
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-7013
OTHER MEDICARE PFFS/HMO
HI
01
—
12-7013A
ALOHACARE ADVANTAGE
HI
05
—
506016-01
—
HI
01
—
50601600
ALOHACARE QUEST
HI
05
—
533275-01
—
HI
05
—
533275-02
—
HI
05
—
533275-03
—
HI
05
—
533275-04
—
HI
05
—
533275-05
—
HI
01
—
A002543-5
HMSA (PRIVATE INSURER)
HI
Enumeration date
03/20/2006
Last updated
09/18/2020
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