Provider Demographics
NPI:1073537510
Name:REHABILITATION HOSPITAL OF THE PACIFIC
Entity Type:Organization
Organization Name:REHABILITATION HOSPITAL OF THE PACIFIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORIWAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-566-3881
Mailing Address - Street 1:226 N KUAKINI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2421
Mailing Address - Country:US
Mailing Address - Phone:808-531-3511
Mailing Address - Fax:808-544-3377
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2421
Practice Address - Country:US
Practice Address - Phone:808-531-3511
Practice Address - Fax:808-544-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOHCA#72N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
00T0208557OtherHMSA ALL SUBACUTE
125053Medicare ID - Type UnspecifiedSUBACUTE UNIT