Organization
HOME CARE HAWAII L.L.P
Active
Parent organization
HOME CARE HAWAII L.L.P
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOME CARE HAWAII L.L.P
Authorized official
VITO PONZIO, JR (SR VP)
(303) 672-8631
Entity
Organization
Contact information
Practice address
94-479 UKEE ST, WAIPAHU, HI 96797-4212
(808) 677-1288
(808) 677-2611
Mailing address
1675 BROADWAY, SUITE 900, DENVER, CO 80202-4675
(303) 672-8631
(303) 298-0047
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY-592
HI
333600000X
Pharmacy
PHY-592
HI
3336C0003X
Community/Retail Pharmacy
PHY-592
HI
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY-592
HI
3336M0002X
Mail Order Pharmacy
PHY-592
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203722
NCPDP
—
05
—
528309-01
—
HI
01
—
PHY-592
RX LICENSE
HI
Enumeration date
05/25/2006
Last updated
03/07/2023
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