Provider Demographics
NPI:1629774690
Name:SAITO ADULT FOSTER CARE LLC
Entity Type:Organization
Organization Name:SAITO ADULT FOSTER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FELICISIMA
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:SAITO
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:808-756-1460
Mailing Address - Street 1:81-1018 MELEANA PL
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-8172
Mailing Address - Country:US
Mailing Address - Phone:808-756-1460
Mailing Address - Fax:808-315-8479
Practice Address - Street 1:81-1018 MELEANA PL
Practice Address - Street 2:
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-8172
Practice Address - Country:US
Practice Address - Phone:808-756-1460
Practice Address - Fax:808-315-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No251J00000XAgenciesNursing Care
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI820680Medicaid