Provider Demographics
NPI:1730831900
Name:HAWAII CHILDRENS CENTER
Entity type:Organization
Organization Name:HAWAII CHILDRENS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:808-481-3662
Mailing Address - Street 1:PO BOX 1733
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-1733
Mailing Address - Country:US
Mailing Address - Phone:808-481-3662
Mailing Address - Fax:
Practice Address - Street 1:183 HOKULANI ST APT A
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-6726
Practice Address - Country:US
Practice Address - Phone:808-481-3662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty