Provider Demographics
NPI:1306261235
Name:OLIVIA S. LEWIN
Entity type:Organization
Organization Name:OLIVIA S. LEWIN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:SABIO
Authorized Official - Last Name:LEWIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:808-223-5052
Mailing Address - Street 1:92-915 WELO ST
Mailing Address - Street 2:# 102
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1494
Mailing Address - Country:US
Mailing Address - Phone:808-223-5052
Mailing Address - Fax:808-312-1176
Practice Address - Street 1:92-915 WELO ST
Practice Address - Street 2:# 102
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1494
Practice Address - Country:US
Practice Address - Phone:808-223-5052
Practice Address - Fax:808-312-1176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-01
Last Update Date:2014-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home