Organization
ANN PEARL CARE HOME, INC
Active
Other names
Ann Pearl Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL HATA (SECRETARY & TREASURER)
(808) 247-0003
Entity
Organization
Contact information
Practice address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-8558
(808) 247-4115
Mailing address
45-181 WAIKALUA RD, KANEOHE, HI 96744-2765
(808) 247-8558
(808) 247-4115
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
57-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001594-01
—
HI
01
—
C0000475
HMSA 65C
HI
Enumeration date
10/03/2005
Last updated
10/03/2022
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