Healthcare Provider Details

I. General information

NPI: 1053310771
Provider Name (Legal Business Name): ARCADIA RETIREMENT RESIDENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1434 PUNAHOU ST
HONOLULU HI
96822-4754
US

IV. Provider business mailing address

1434 PUNAHOU ST
HONOLULU HI
96822-4754
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-0941
  • Fax:
Mailing address:
  • Phone: 808-941-0941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. EMMET WHITE JR.
Title or Position: PRESIDENT & CEO
Credential:
Phone: 808-941-0941