Organization · Type 2 NPI

Hale Kupuna Heritage Home, LLC

Nursing Facility/Intermediate Care Facility · Koloa, HI

NPI number 1992792733 Active

Practice location

4297C Omao Rd
Koloa, HI 96756-9624

Fax (808) 742-6563

Mailing address

45-181 Waikalua Rd
Kaneohe, HI 96744-2765

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X61-N (HI)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

Another provider at this address

About NPI 1992792733

Hale Kupuna Heritage Home, LLC's National Provider Identifier is 1992792733, issued on Oct 5, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Koloa, HI. The record was last updated on Oct 3, 2022.