Provider Demographics
NPI:1124026901
Name:ISLAND HEALTH CARE LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:ISLAND HEALTH CARE LIMITED PARTNERSHIP
Other - Org Name:ALOHA NURSING REHAB CENTRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:P
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:III
Authorized Official - Credentials:NHA
Authorized Official - Phone:808-247-2220
Mailing Address - Street 1:45-545 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-1943
Mailing Address - Country:US
Mailing Address - Phone:808-247-2220
Mailing Address - Fax:808-235-3676
Practice Address - Street 1:45-545 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-1943
Practice Address - Country:US
Practice Address - Phone:808-247-2220
Practice Address - Fax:808-235-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI28-N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI15940OtherKAISER
HIA7797-2OtherHMSA 65C
HIV261P-2872OtherVA
HI031140-01Medicaid
HI125038Medicare Oscar/Certification
HI3850360001Medicare NSC