Provider Demographics
NPI:1174994784
Name:CAREGIVERS OF HAWAII
Entity type:Organization
Organization Name:CAREGIVERS OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEONARDA
Authorized Official - Middle Name:LOGRONO
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-227-4292
Mailing Address - Street 1:84-378 JADE ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-2222
Mailing Address - Country:US
Mailing Address - Phone:808-223-7679
Mailing Address - Fax:
Practice Address - Street 1:84-378 JADE ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2222
Practice Address - Country:US
Practice Address - Phone:808-223-7679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFH ANGELS FROM HEAVEN INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW17204175-01253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care