Provider Demographics
NPI:1093830606
Name:NURSES JUST FOR KIDS, INC
Entity Type:Organization
Organization Name:NURSES JUST FOR KIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:J
Authorized Official - Last Name:REAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-672-8651
Mailing Address - Street 1:92-1115 LIOLIO PL
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1461
Mailing Address - Country:US
Mailing Address - Phone:808-672-8651
Mailing Address - Fax:808-672-5591
Practice Address - Street 1:92-1115 LIOLIO PL
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1461
Practice Address - Country:US
Practice Address - Phone:808-672-8651
Practice Address - Fax:808-672-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN34427251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI559635-01Medicaid