Provider Demographics
NPI:1902424682
Name:ALL ISLANDS HOMECARE, INC.
Entity Type:Organization
Organization Name:ALL ISLANDS HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:GALANG
Authorized Official - Last Name:DELA LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-260-8809
Mailing Address - Street 1:1451 S KING ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2509
Mailing Address - Country:US
Mailing Address - Phone:808-270-5087
Mailing Address - Fax:808-829-3182
Practice Address - Street 1:1451 S KING ST STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2509
Practice Address - Country:US
Practice Address - Phone:808-270-5087
Practice Address - Fax:808-829-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI822363Medicaid