PRIME CARE SERVICES HAWAII, INC.


Address: 3375 Koapaka St, Suite I-570, Honolulu, HI 96819-1800
Phone: 8085310050

PRIME CARE SERVICES HAWAII, INC. (NPI# 1730176488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730176488
Entity Type Organization
Organization Name PRIME CARE SERVICES HAWAII, INC.
Practice Address 3375 Koapaka St
Suite I-570
Honolulu
HI 96819-1800
Practice Telephone 8085310050
Practice Fax Number 8085311158
Mailing Telephone 8085310050
Mailing Fax Number 8085311158
Enumeration Date 2005-09-27
Last Update Date 2011-12-27
Authorized Official Name MR. JAMES SIEBERT HOBAN JR. (VP/CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8085310050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health HHA-31 HI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
HI 086481 05

Office Location

Street Address 3375 KOAPAKA ST
SUITE I-570
City HONOLULU
State HI
Zip Code 96819-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073972287 Value Drug Ltd Pharmacy 3375 Koapaka St, Ste G320, Honolulu, HI 96819-1800 2016-02-16
1164881371 Value Drug Ltd Clinic/Center 3375 Koapaka St, Ste G320, Honolulu, HI 96819-1800 2016-02-16
1437518644 Value Drug Ltd Durable Medical Equipment & Medical Supplies 3375 Koapaka St, Ste G320, Honolulu, HI 96819-1800 2016-02-16
1659760734 Mina Pharmacy LLC Point of Service 3375 Koapaka St, Suite F245, Honolulu, HI 96819-1800 2015-01-13
1528498748 Sunae Tom Pharmacist 3375 Koapaka St, Suite G320, Honolulu, HI 96819-1800 2013-11-25
1801224019 Marissa Wong Psychologist 3375 Koapaka St, Suite I-560, Honolulu, HI 96819-1800 2013-10-25
1457698631 Nancy Moonhee Cha Psychologist 3375 Koapaka St, Suite I-560, Honolulu, HI 96819-1800 2013-01-08
1093050874 Athena C. Yoneda Psychologist 3375 Koapaka St, Suite I-560, Honolulu, HI 96819-1800 2012-12-04
1184992042 Jessica Toyama Pharmacist 3375 Koapaka St, Suite F238-30, Honolulu, HI 96819-1800 2011-12-07
1093083040 Nancy Huang Pharmacist 3375 Koapaka St, Honolulu, HI 96819-1800 2011-12-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619507621 Corrie Sanders Pharmacist 450 Patterson Rd, Honolulu, HI 96819 2020-01-17
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1720436058 Aaron Taniguchi Physical Therapist 1740 Ala Aolani St, Honolulu, HI 96819 2016-05-26
1770940892 Tracy Lynne Khan Fernando Nurse Practitioner 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 2016-01-20
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1407195118 Candace Adeline Schumacher Licensed Vocational Nurse 1460 Ala Aolani, Honolulu, HI 96819 2013-02-01
1750629556 Benjamin L Kilinski Nurse Practitioner 1803 Kamehameha Iv Road, Honolulu, HI 96819 2013-01-29
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1942836119 Wilson In Home, Inc. Home Health 1221 Kapiolani Blvd Ste 940, Honolulu, HI 96814-3502 2020-03-19
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1992197297 Oahu Home Healthcare LLC Home Health 820 Mililani St Ste 725, Honolulu, HI 96813-2993 2015-02-23
1649697327 Kupuna Care Hawaii LLC Home Health 1144 Elm St, Honolulu, HI 96814-2224 2014-03-19
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Competitor

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City HONOLULU
Zip Code 96819

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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