Provider Demographics
NPI:1962541201
Name:KAIMUKI CARE, INC.
Entity type:Organization
Organization Name:KAIMUKI CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:BABAGAY
Authorized Official - Last Name:IOPA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:808-734-0020
Mailing Address - Street 1:3221 WAIALAE AVE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5842
Mailing Address - Country:US
Mailing Address - Phone:808-734-0020
Mailing Address - Fax:808-732-0010
Practice Address - Street 1:3221 WAIALAE AVE
Practice Address - Street 2:SUITE 360
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5842
Practice Address - Country:US
Practice Address - Phone:808-734-0020
Practice Address - Fax:808-732-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-2085225100000X
HIPT 2444225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI101148Medicare ID - Type UnspecifiedFACILITY PROVIDER NUMBER