Organization
PRIME CARE SERVICES HAWAII INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL I HATA (VP)
(808) 791-4496
Entity
Organization
Contact information
Practice address
3375 KOAPAKA ST, SUITE I-570, HONOLULU, HI 96819-1800
(808) 531-0050
(808) 531-1158
Mailing address
3375 KOAPAKA ST, SUITE I-570, HONOLULU, HI 96819-1800
(808) 531-0050
(808) 531-1158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA-31
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086481
—
HI
Enumeration date
09/27/2005
Last updated
10/03/2022
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