HALE NANI REHABILITATION & NURSING CENTER
NPI 1063406155
Skilled Nursing Facility in Honolulu, HI

Active since September 06, 2005CLIA Certified · 2 labs
1677 PENSACOLA ST, HONOLULU, HI 96822(808) 537-3371(808) 532-5283 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 17, 2022, Aug 10, 2022 (2 updates tracked since 2022).

About Hale Nani Rehabilitation & Nursing Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALE NANI REHABILITATION & NURSING CENTER (NPI 1063406155) is a healthcare organization registered as a skilled nursing facility in Honolulu, Hawaii and active in the NPI registry since September 2005. The organization holds 2 active CLIA laboratory certificates and lists Charles Kirton, Ceo/chairman, as its authorized official.

NPPES Registry Identity

NPI1063406155
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAVALON CARE CENTER - HALE NANI LLC
Location Address1677 PENSACOLA STHonolulu, HI 96822-2676
Mailing Address206 N 2100 WSalt Lake City, UT 84116-4740 · (801) 596-8844 · Fax (801) 596-9001
Fax(808) 532-5283
Organization SubpartNo
Authorized OfficialCharles KirtonCeo/chairman · (801) 596-8844
Enumeration DateSeptember 6, 2005
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1063406155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in HI · OHCA#64-N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1677 PENSACOLA ST, Honolulu, HI 96822

Other Names 1

Doing Business AsHale Nani Rehabilitation & Nursing Center

Other Identifiers 1

Medicaid04465901HI

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D0646276

Hale Nani Rehab & Nursing Center LLC · Honolulu, HI
Active · expires Jul 21, 2027
CLIA Number12D0646276
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorNicetas P. Liongson
Laboratory Phone(808) 220-0222
Laboratory LocationHale Nani Rehab & Nursing Center LLC1677 Pensacola Street, Honolulu, HI 96822
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D0622324

Avalon Care Center - Scappoose · Scappoose, OR
Active · expires Dec 31, 2027
CLIA Number38D0622324
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorArash Fathizadeh
Laboratory Phone(801) 596-8844
Laboratory LocationAvalon Care Center - Scappoose33910 E Columbia Avenue, Scappoose, OR 97056
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1677 PENSACOLA ST
HONOLULU, HI 96822
Physical Therapy Assistant
1677 PENSACOLA ST
HONOLULU, HI 96822
Skilled Nursing Facility
1677 PENSACOLA ST
HONOLULU, HI 96822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avalon Care Center - Hale Nani LLC's NPI number?

The NPI number for Avalon Care Center - Hale Nani LLC is 1063406155. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Hale Nani Rehabilitation & Nursing Center.

Where is Avalon Care Center - Hale Nani LLC located?

Avalon Care Center - Hale Nani LLC is located at 1677 Pensacola St, Honolulu, HI 96822. The listed phone number is (808) 537-3371.

What is Avalon Care Center - Hale Nani LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Avalon Care Center - Hale Nani LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Avalon Care Center - Hale Nani LLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.