Life Care Services of Hawaii LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OHCA#55-N Issued in HI

Legal business name

LIFE CARE SERVICES OF HAWAII LLC

Practice address

1314 Kalakaua Ave
Second Floor
Honolulu, HI 96826-1908

Phone

(808) 983-4444

Fax

(808) 983-4499

NPI assigned

Nov 1, 2005

Last updated

Aug 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill I Sorenson

Title

Senior Vice President

Phone

(515) 875-4500

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1083605836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 KALAKAUA AVE, 2ND FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261908",
            "telephone_number": "808-893-4444",
            "fax_number": "808-983-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 KALAKAUA AVE",
            "address_2": "SECOND FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261908",
            "telephone_number": "808-983-4444",
            "fax_number": "808-983-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE SERVICES OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "515-875-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "HI",
            "license": "OHCA-55-N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "55-N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "OHCA#55-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A214328",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hannah L Lie
• Kahealani Liederbach
• Suzanna Kiki Lieu, APRN
• Jason Anthony Liew, MD
• Life Foundation
• Life Master LLC
• Life Passengers LLC
• Lifeforce, Inc.
• Lifeforce, Inc.

• Skilled Nursing Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Skilled Nursing Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.