Hale Kupuna Heritage Home, Llc, NPI 1992792733
Nursing Facility/Intermediate Care Facility in Koloa, HI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1992792733
NPI Entity Type Organization
Provider Name Hale Kupuna Heritage Home, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4297c Omao Rd, Koloa, HI, US
Provider Mailing Address 45-181 Waikalua Rd, Kaneohe, HI, US, 967442765
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Randall Hata
Official Position CFO
Phone 808-247-0003

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. 61-N
License State HI
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Business Address

Hale Kupuna Heritage Home, Llc
4297c Omao Rd

Koloa, HI, US

Phone: 808-742-7591
Fax: 808-742-6563

Mailing Address

Hale Kupuna Heritage Home, Llc
45-181 Waikalua Rd
Kaneohe, HI, US
ZIP 967442765
Phone: 808-247-0003

Other Providers in HI, US

NPI Name Taxonomy Address

1992043194

PHARMD, RPH Robert S Schick

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459 Patterson Rd

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1861654261

DR. MD Katherine Anne Wrenn-maresh

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1649534884

OTR/L Shaunna Dezrae Kamanu'ena Hermosura

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1366167736

Monica Gonzales

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1114915204

Hawaii Pathologists' Laboratory

Organization

Anatomic Pathology & Clinical Pathology Physician

1301 Punchbowl St

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1831814284

Melissa Wilson Lmft Llc

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Marriage & Family Therapist

4374 Kukui Grove St Ste 102

Lihue, HI

1407837347

DR. M.D. Jay Jahanmir

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Hospitalist Physician

1 Jarrett White Rd

Department Of Hospital Medicine

Tripler Army Medical Center, HI

1063678456

M.D. Eri Haruko Shimizu

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270 Hookahi Street

Suite 305

Wailuku, HI

1619498557

DR. MD Noam Grysman

Individual

Psychiatry Physician

1301 Punchbowl St

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1801511225

RBT Allison Celeste Steed

Individual

Behavior Technician

427 Ala Makani St Ste 200

Kahului, HI

1174022602

LMFT Clarinda Joy Hufanga

Individual

Marriage & Family Therapist

614 Kilauea Ave Ste 27

Hilo, HI

1669196069

CRNA Rita Lin

Individual

Certified Registered Nurse Anesthetist

3288 Moanalua Rd

Honolulu, HI

1912621467

Chi Ming Au Yeung

Individual

Certified Registered Nurse Anesthetist

3288 Moanalua Rd

Honolulu, HI

1952026411

PHARMD Cleighton A Lagmay

Individual

Pharmacist

590 Farrington Hwy Unit 300

Kapolei, HI

1790317543

FNP-C Christopher Sellman

Individual

Registered Nurse

3468 Harding Ave

Honolulu, HI

1396493599

DR. DDS Tammy Tran

Individual

General Practice Dentistry

95-1099 Ainamakua Dr Ste 1

Mililani, HI

1073238598

DR. PSYD Jonathan Ponce

Individual

Psychologist

86-260 Farrington Hwy

Waianae, HI

1578288098

PHARMD Jessel Lyn Cablay Dela Cruz

Individual

Pharmacist

1301 Punchbowl St

Honolulu, HI

1710117544

DR. PH.D George Labenia Hanawahine

Individual

Psychologist

1 Jarrett White Rd

Tripler Army Medical Center, HI

1952026452

Julie N R Cohen Mft Csac Llc

Organization

Adult Mental Health Clinic/Center

59-327 Pupukea Rd

Haleiwa, HI

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