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KAIMUKI SENIOR CARE L.L.C. NPI 1538428750


NPI Information

NPI: 1538428750
Provider Name: KAIMUKI SENIOR CARE, L.L.C.

Doing Business As: MANOA SENIOR CARE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
918 12TH AVE
HONOLULU, HI
ZIP 96816
Phone: (808) 735-5175
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KAIMUKI SENIOR CARE, L.L.C. is an adult care home custodial care facility in Honolulu, HI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. KAIMUKI SENIOR CARE, L.L.C. NPI is 1538428750. The provider is registered as an organization entity type.
The provider Is Doing Business As Manoa Senior Care.

The provider's business location address is:

918 12TH AVE
HONOLULU, HI
ZIP 96816-251
Phone: (808) 735-5175
Fax: (808) 735-0159

The provider's authorized official is Paul M Dold .
The authorized official title is President and has the following contact phone number (808) 440-0560.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 5/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeOHCA#1349-CHAWAIIYes

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: 4/28/2024

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