Provider Demographics
NPI: | 1063704492 |
---|---|
Name: | BF INTEGRITY CARE |
Entity type: | Organization |
Organization Name: | BF INTEGRITY CARE |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRIMARY CAREGIVER |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | EUFRACIO |
Authorized Official - Middle Name: | MAYUBAY |
Authorized Official - Last Name: | BUGARIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | CNA |
Authorized Official - Phone: | 808-239-4796 |
Mailing Address - Street 1: | 47-506 HAANOPU WAY |
Mailing Address - Street 2: | |
Mailing Address - City: | KANEOHE |
Mailing Address - State: | HI |
Mailing Address - Zip Code: | 96744-4691 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 808-239-4796 |
Mailing Address - Fax: | 808-239-2326 |
Practice Address - Street 1: | 47-506 HAANOPU WAY |
Practice Address - Street 2: | |
Practice Address - City: | KANEOHE |
Practice Address - State: | HI |
Practice Address - Zip Code: | 96744-4691 |
Practice Address - Country: | US |
Practice Address - Phone: | 808-239-4796 |
Practice Address - Fax: | 808-239-2326 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-05-04 |
Last Update Date: | 2011-05-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
HI | 311ZA0620X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |