Provider Demographics
NPI:1831260330
Name:EAST HAWAII REHAB, INC.
Entity type:Organization
Organization Name:EAST HAWAII REHAB, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:YAMASHITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-969-3811
Mailing Address - Street 1:116 HUALALAI ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3820
Mailing Address - Country:US
Mailing Address - Phone:808-969-3811
Mailing Address - Fax:808-969-6630
Practice Address - Street 1:116 HUALALAI ST
Practice Address - Street 2:SUITE #101
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3820
Practice Address - Country:US
Practice Address - Phone:808-969-3811
Practice Address - Fax:808-969-6630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI55976Medicare ID - Type Unspecified