Provider Demographics
NPI:1770579484
Name:FAMILY HEALTH, INC.
Entity type:Organization
Organization Name:FAMILY HEALTH, INC.
Other - Org Name:<UNAVAIL>
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:96817-1416
Mailing Address - Country:US
Mailing Address - Phone:808-748-8718
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:96817-1416
Practice Address - Country:US
Practice Address - Phone:808-748-8659
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:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI22-N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00153901Medicaid
HIA0042-0OtherHMSA
HIA0042-0OtherHMSA