- Enrollment id
- O20121211000547
- Enrollment state
- HI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1376525584
- Multiple npi flag
- N
- Ccn
- 125019
- Associate id
- 1658523063
- Organization name
- DIVERSIFIED MEDICAL ENTERPRISES INC
- Doing business as name
- THE CARE CENTER OF HONOLULU
- Incorporation date
- 1969-04-16
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- THE CARE CENTER OF HONOLULU
- Address line 1
- 1900 BACHELOT ST
- City
- HONOLULU
- State
- HI
- Zip code
- 968172431