NPIMap

Organization Active NPI

Rehabilitation Hospital of the Pacific

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1730580424
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REHABILITATION HOSPITAL OF THE PACIFIC
Practice address
226 N Kuakini St
Honolulu, HI 96817-2488
Phone
(808) 531-3511
Fax
(808) 544-3377
NPI assigned
Sep 12, 2014
Organization subpart
Yes
Parent organization
REHABILITATION HOSPITAL OF THE PACIFICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Stephanie Nadolny
Title
President & Ceo
Phone
(808) 566-3815

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X
Pain Clinic/Center 261QP3300X
Radiology Clinic/Center 261QR0200X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

226 N Kuakini St
Honolulu, HI 96817-2488

Mailing address

226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 531-3511

Other names 1

  • Rehabilitation Hospital of the Pacific Physicians Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311001024 HI Part B Supplier - Hospital Department(S) 9436068442 Receives reassigned benefits from 11 practitioners
Practice locations: Aiea, HI; Honolulu, HI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Hospital of the Pacific6 organizations share this tax ID, including this one
Part of
Rehabilitation Hospital of the Pacific

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rehabilitation Hospital of the PacificHonolulu, HI, CCN 123025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 13, 1975
Aug 13, 1975

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1730580424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-531-3511",
            "fax_number": "808-544-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172488",
            "telephone_number": "808-531-3511",
            "fax_number": "808-544-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION HOSPITAL OF THE PACIFIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REHABILITATION HOSPITAL OF THE PACIFIC",
        "enumeration_date": "2014-09-12",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "NADOLNY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "808-566-3815"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Hospital of the Pacific Physicians Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rehabilitation Hospital of the Pacific Physicians Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.