Healthcare Provider Details

I. General information

NPI: 1598785388
Provider Name (Legal Business Name): REHABILITATION HOSPITAL OF THE PACIFIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

IV. Provider business mailing address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-3511
  • Fax: 808-544-3377
Mailing address:
  • Phone: 808-531-3511
  • Fax: 808-544-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License NumberOHCA#35H
License Number StateHI

VIII. Authorized Official

Name: STEPHANIE NADOLNY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 808-566-3815