PSH KM LLC NPI 1285342378

NPI Information

  • NPI: 1285342378
  • Provider Name: PSH KM LLC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 91-1360 KARAYAN ST
    EWA BEACH, HI
    ZIP 96706
  • Phone: (808) 681-1200

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NPI Details

PSH KM LLC is a nursing care and pediatric skilled nursing facility in Ewa Beach, HI. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. PSH KM LLC NPI is 1285342378. The provider is registered as an organization entity type.

The provider's business location address is:

91-1360 KARAYAN ST
EWA BEACH, HI
ZIP 96706-985
Phone: (808) 681-1200
Fax: (808) 681-1238

The provider's authorized official is Spencer Olsen .
The authorized official title is Owner and has the following contact phone number (949) 521-0707.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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