Rescare Hawaii, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

RESCARE HAWAII, LLC

Practice address

94-1161 Heahea St
Waipahu, HI 96797-4713

Phone

(808) 772-4756

Fax

(808) 772-4757

NPI assigned

Jun 1, 2020

Last updated

Jul 6, 2021By 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

Elizabeth Gonzales Flormata

Title

Administrator

Phone

(808) 729-8591

Specialties & licenses 5

Addresses

Other names 1

• SLK HANA OLA, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L King, IJK CARE SERVICES

  • In Home Supportive Care Agency
  • Waipahu, HI
  • NPI 1730907890
  NPD

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1407470842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1161 HEAHEA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974713",
            "telephone_number": "808-772-4756",
            "fax_number": "808-772-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1161 HEAHEA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974713",
            "telephone_number": "808-772-4756",
            "fax_number": "808-772-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESCARE HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "FLORMATA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "GONZALES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-729-8591"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLK HANA OLA, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Nurse in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.