1104964972 NPI number — HELPING HANDS HAWAII

Table of content: (NPI 1104964972)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104964972 NPI number — HELPING HANDS HAWAII

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS HAWAII
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104964972
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 N NIMITZ HWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-2218
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-526-9724
Provider Business Mailing Address Fax Number:
808-536-7235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 N NIMITZ HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-2218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-526-9724
Provider Business Practice Location Address Fax Number:
808-536-7235
Provider Enumeration Date:
02/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HARADA
Authorized Official First Name:
JAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
18084403820

Provider Taxonomy Codes

  • Taxonomy code: 171R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , with the licence number: APRN-717 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1D528060 01 . This is a "EVERCARE (UNITED HEALTHCARE)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 528060 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00A0245942 . This is a "HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00D0500027 . This is a "HMSA QUEST" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1D63452801 . This is a "CYRCA INC." identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 1DN506421 . This is a "'OHANA HEALTHPLAN (WELLCARE)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 528060 01 . This is a "ALOHACARE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".