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 |