Provider Demographics
NPI:1871096826
Name:HO'OKELE HEALTH NAVIGATORS, LLC
Entity type:Organization
Organization Name:HO'OKELE HEALTH NAVIGATORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:CASTONGUAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-457-1657
Mailing Address - Street 1:1345 S BERETANIA ST STE 304
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1802
Mailing Address - Country:US
Mailing Address - Phone:808-457-1657
Mailing Address - Fax:
Practice Address - Street 1:1345 S BERETANIA ST STE 304
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1802
Practice Address - Country:US
Practice Address - Phone:808-457-1657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HO'OKELE HEALTH INNOVATIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0752009216401251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management