Provider Demographics
NPI:1235712001
Name:ARCADIA ADULT DAY CARE AND DAY HEALTH CENTER
Entity Type:Organization
Organization Name:ARCADIA ADULT DAY CARE AND DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-983-5901
Mailing Address - Street 1:1434 PUNAHOU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-4754
Mailing Address - Country:US
Mailing Address - Phone:808-983-3827
Mailing Address - Fax:
Practice Address - Street 1:1660 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1104
Practice Address - Country:US
Practice Address - Phone:808-983-5910
Practice Address - Fax:808-983-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIADHC-4OtherSTATE OF HAWAII DEPARTMENT OF HEALTH