Provider Demographics
NPI:1508462383
Name:NUUANU HALE, INC
Entity Type:Organization
Organization Name:NUUANU HALE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDISON
Authorized Official - Middle Name:K
Authorized Official - Last Name:MIYAWAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-595-6311
Mailing Address - Street 1:2900 PALI HWY
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1479
Mailing Address - Country:US
Mailing Address - Phone:808-595-6311
Mailing Address - Fax:808-595-6188
Practice Address - Street 1:2900 PALI HWY
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1479
Practice Address - Country:US
Practice Address - Phone:808-595-6311
Practice Address - Fax:808-595-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility