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Contact Information

DIVERSIFIED MEDICAL ENTERPRISES INC
1900 BACHELOT ST
HONOLULU, HI96817-2431
 Phone: 808-531-5302
 Fax: 808-538-3219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for DIVERSIFIED MEDICAL ENTERPRISES INC

NPI Number 1376525584
LBN Legal business name DIVERSIFIED MEDICAL ENTERPRISES INC
Authorized official DENNIS GEORGE - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2005
Last updated 10/02/2025 - About 8 months ago
Identifiers
HI License # 16N
HI Medicaid 00186901
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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