Provider Demographics
NPI:1134543747
Name:ESTA, LINA MABINI DBA ESTA CARE HOME
Entity type:Organization
Organization Name:ESTA, LINA MABINI DBA ESTA CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-677-3607
Mailing Address - Street 1:94-1110 HINAEA ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3718
Mailing Address - Country:US
Mailing Address - Phone:808-677-3607
Mailing Address - Fax:
Practice Address - Street 1:94-1110 HINAEA ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3718
Practice Address - Country:US
Practice Address - Phone:808-677-3607
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness