Provider Demographics
NPI:1023739588
Name:HALE OLA KINO BY ARCADIA
Entity type:Organization
Organization Name:HALE OLA KINO BY ARCADIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULBERG
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:808-983-1838
Mailing Address - Street 1:1314 KALAKAUA AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1900
Mailing Address - Country:US
Mailing Address - Phone:808-983-1838
Mailing Address - Fax:808-949-4965
Practice Address - Street 1:1314 KALAKAUA AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1900
Practice Address - Country:US
Practice Address - Phone:808-983-1838
Practice Address - Fax:808-949-4965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility