CCN: 125020 NPI: 1518951607 Organization

AVALON CARE CENTER - HONOLULU, LLC

1930 KAMEHAMEHA IV RD
HONOLULU, HI 968192629

Contact Information

Phone 8088474834
Fax 8088488020
Enumeration Date 2005-09-06
Last Updated 2022-08-17

Taxonomies

Code: 314000000X (Primary) License State: HI License: OCHA#65-N

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0098468326

censusDivision 9

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providerType 38

vbpAdjustment 0.999378153

censusDivision 9

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0176785153

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0201347897

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0223046549

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0160030816

censusDivision 0

cbsaActualGeographicLocation 46520

providerType 38

vbpAdjustment 1.0160030816

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

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operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01

cbsaActualGeographicLocation 46520

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 01212

localityCode 01