Provider Demographics
NPI:1962761031
Name:JAMES CARE, LLC
Entity type:Organization
Organization Name:JAMES CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPN, PCG,
Authorized Official - Phone:808-953-8862
Mailing Address - Street 1:87-122A AUYONG HMSTD RD
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3703
Mailing Address - Country:US
Mailing Address - Phone:808-953-8862
Mailing Address - Fax:888-958-4492
Practice Address - Street 1:87-122A AUYONG HMSTD RD
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-3703
Practice Address - Country:US
Practice Address - Phone:808-953-8862
Practice Address - Fax:888-958-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2012-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW49873992-01314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility