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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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility |
| NPI # | 1659658664 |
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| LBN Legal business name | CRAIGSIDE RETIREMENT RESIDENCE | ||||
| Authorized official | EMMET WHITE - (CHIEF EXECUTIVE OFFICER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 11/04/2011 | ||||
| Last updated | 02/27/2014 - About 12 years ago | ||||
| Identifiers |
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CRAIGSIDE RETIREMENT RESIDENCE
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| LANAI COMMUNITY HOSPITAL 628 SEVENTH STREET LANAI CITY, HI |
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| GABRIELA ORTIZ-OMPHROY MD LLC 98-1079 MOANALUA RD STE 680 AIEA, HI |
| SUSAN J LICOAN, PSYD 39 3301 MILO PLACE ‘O‘OKALA, HI |
| KATHERINE D PERCY, DO 1 JARRETT WHITE ROAD 1 JARRETT WHITE ROAD, HI |
| ANDREA CLAUDINE F AFABLE, M.D. UNIVERSITY OF HAWAII FAMILY MEDICINE RESIDENCY PROGRAM AEIA, HI |
| STEPHANIE KRYSTEL D CANICULA, M.D. 98-1005 MOANALUA ROAD AEIA, HI |
CRAIGSIDE RETIREMENT RESIDENCE