Provider Demographics
NPI:1598785388
Name:REHABILITATION HOSPITAL OF THE PACIFIC
Entity type:Organization
Organization Name:REHABILITATION HOSPITAL OF THE PACIFIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NADOLNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-566-3815
Mailing Address - Street 1:226 N KUAKINI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2421
Mailing Address - Country:US
Mailing Address - Phone:808-531-3511
Mailing Address - Fax:808-544-3377
Practice Address - Street 1:226 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2421
Practice Address - Country:US
Practice Address - Phone:808-531-3511
Practice Address - Fax:808-544-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOHCA#35H283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
00C0208557OtherHMSA ALL SFW OP
00A0052751OtherHMSA INPATIENT PPS
HI51987901Medicaid
144692903OtherOWCP MILILANI OP
HI50552101Medicaid
96789B001OtherCHAMPUS MILILANI OP
00K0052759OtherHMSA ALL MILILANI OP
144692902OtherOWCP AIEA OP
HI51990201Medicaid
968170001OtherCHAMPUS IP
96701B001OtherCHAMPUS AIEA OP
00Q0052756OtherHMSA ALL AIEA OP
12302588OtherUHA MEDICARE ALL
485OtherALOHA CARE QUEST ALL
96706B001OtherCHAMPUS SFW OP
144692900OtherOWCP NUUANU IP & OP
HI51991001Medicaid
96817B001OtherCHAMPUS NUU OP
00H0052756OtherHMSA ALL NUU OP
00K0052759OtherHMSA ALL MILILANI OP
485OtherALOHA CARE QUEST ALL