Organization
CARERESOURCE HAWAII
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THAD WAKASUGI (CONTROLLER)
(808) 599-9999
Entity
Organization
Contact information
Practice address
680 IWILEI RD, SUITE 660, HONOLULU, HI 96817-5388
(808) 534-4224
(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
HHA-16
HI
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
533390-01
—
HI
05
—
533390-02
—
HI
05
—
533390-03
—
HI
05
—
533390-04
—
HI
05
—
533390-05
—
HI
Enumeration date
07/24/2007
Last updated
09/21/2020
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