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Contact Information

KAUAI CARE CENTER, LLC
9611 WAENA ROAD
WAIMEA, HI96796
 Phone: 808-338-1681
 Fax: 808-338-1297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for KAUAI CARE CENTER, LLC

NPI Number 1689618308
LBN Legal business name KAUAI CARE CENTER, LLC
Authorized official MARVIN BEDDOE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2006
Last updated 03/08/2023 - About 3 years ago
Identifiers
HI Medicaid 0-03831-1
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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