1689224024 NPI number — ACCESS TO CARE AMERICA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689224024 NPI number — ACCESS TO CARE AMERICA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCESS TO CARE AMERICA
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:
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:
1689224024
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3010 VISTA PL
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:
96822-1641
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-219-0456
Provider Business Mailing Address Fax Number:
808-427-3471

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 ALA MOANA BLVD
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:
96813-4920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-353-8413
Provider Business Practice Location Address Fax Number:
808-427-3471
Provider Enumeration Date:
09/18/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KNIGHTSBRIDGE
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
MATTHEW
Authorized Official Title or Position:
PRESIDENT AND FOUNDER
Authorized Official Telephone Number:
808-219-0456

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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