- Enrollment id
- O20150702002610
- Enrollment state
- HI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1164815338
- Multiple npi flag
- N
- Ccn
- 125064
- Associate id
- 3678885639
- Organization name
- LILIHA KUPUNA SNF LLC
- Doing business as name
- THE CHING VILLAS
- Incorporation date
- 2014-04-23
- Incorporation state
- HI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE CHING VILLAS
- Affiliation entity name
- OHANA PACIFIC MANAGEMENT CO.
- Affiliation entity id
- 382
- Address line 1
- 2230 LILIHA ST
- Address line 2
- STE 500
- City
- HONOLULU
- State
- HI
- Zip code
- 968171697