Hale Kupuna Heritage Home, Llc

LBN: Hale Kupuna Heritage Home, Llc
Hale Kupuna Heritage Home, Llc is an health care organization with primary practice located at 4297C Omao Rd , Koloa HI 96756-9624. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Hale Kupuna Heritage Home, Llc can be contacted via phone (808) 742-7591, or through Hata, Randall via phone (808) 247-0003.

Contact Information

Primary practice address
4297C Omao Rd Koloa HI 96756-9624
Phone: (808) 742-7591
Fax: (808) 742-6563
Website:
Map and Directions
Authorized official contact:
Name: Hata, Randall
Phone: (808) 247-0003

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 61-N Hawaii

Profile Details

NPI number 1992792733
LBN Legal business name Hale Kupuna Heritage Home, Llc
DBA Doing business as
Authorized official Hata, Randall
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Oct 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992792733 NPPES
Hawaii MEDICAID 521030-01

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