Provider Demographics
NPI:1861488553
Name:FAMILY HEALTH II, INC.
Entity Type:Organization
Organization Name:FAMILY HEALTH II, INC.
Other - Org Name:LILIHA HEALTHCARE CENTER
Other - Org Type:Doing Business As
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:808-537-9557
Mailing Address - Street 1:1814 LILIHA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2324
Mailing Address - Country:US
Mailing Address - Phone:808-748-8701
Mailing Address - Fax:808-599-4722
Practice Address - Street 1:1814 LILIHA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2324
Practice Address - Country:US
Practice Address - Phone:808-537-9557
Practice Address - Fax:808-599-4722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-27
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI47-N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06841901Medicaid
HI20372-9OtherHMSA
HI06841901Medicaid