HALE HO'OLA HAMAKUA (NPI# 1053497040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053497040 |
| Entity Type | Organization |
| Organization Name | HALE HO'OLA HAMAKUA |
| Practice Address |
45-547 Plumeria St Honokaa HI 96727-6902 |
| Practice Telephone | 8087757211 |
| Practice Fax Number | 8087759977 |
| Mailing Telephone | 8087757211 |
| Mailing Fax Number | 8087759977 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | KERRY PITCHER (HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 8089323588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | OHCA# 41-N | HI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA/HMSAQUEST SNF | C0001564 | 01 |
| HI | HMSA/65C+/HMSAQUEST ACUTE | A0001568 | 01 |
| HI | HMSA/HMSAQUEST OUTPATIENT | H0001563 | 01 |
| HI | 578263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629154604 | Hale Ho'ola Hamakua | Medicare Defined Swing Bed Unit | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-31 |
| 1164506317 | Hale Ho'ola Hamakua | General Acute Care Hospital | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-24 |
| Street Address |
45-547 PLUMERIA ST |
| City | HONOKAA |
| State | HI |
| Zip Code | 96727-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598710451 | Jeffrey J Gedney | Psychologist | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-05-22 |
| 1225378953 | Ultrasound Specialties, LLC | Clinic/Center | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2013-02-16 |
| 1629154604 | Hale Ho'ola Hamakua | Medicare Defined Swing Bed Unit | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-31 |
| 1164506317 | Hale Ho'ola Hamakua | General Acute Care Hospital | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020081 | Fabienne Bisaro | Community/Behavioral Health | 45-3381 Kukui St, Honokaa, HI 96727 | 2015-04-09 |
| 1184875601 | Lisa Marie Fleury | Pharmacist | 45-3551a Mamane St., Hamakua Family Pharmacy 4, Honokaa, HI 96727 | 2008-10-02 |
| 1295892545 | Edmund Wah On Akioka | Dentist | 45 497b Ilima St, Honokaa, HI 96727 | 2007-01-03 |
| 1306881891 | Hamakua Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 45-3551 Mamane St, Suite #4, Honokaa, HI 96727 | 2006-06-18 |
| 1851810519 | Bridget Apaga Bala-valdez | Nurse Practitioner | 45-549 Plumeria St, Honokaa, HI 96727 | 2017-09-13 |
| 1700129046 | Franziska Ronquillo | Psychologist | 45-549 Plumeria St, Honokaa, HI 96727 | 2013-04-05 |
| 1790969244 | Mary C. Mich | Massage Therapist | 853688 Hau St., Honokaa, HI 96727-0424 | 2007-12-19 |
| 1356430326 | Gretchen J Salmon | General Practice | 45-493c Ilima Street, Honokaa, HI 96727-1363 | 2006-10-11 |
| 1528453669 | Power On Coaching, Inc Dba The Exclusive Addiction Treatment Center | Psychiatric Residential Treatment Facility | 45-3514 Paauhau Road, Honokaa, HI 96727-1460 | 2015-04-06 |
| 1831541085 | Adam Wieland | Behavioral Analyst | 44-345 Puaolena St, Honokaa, HI 96727-6805 | 2016-07-11 |
| Find all providers in zip 96727 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225573124 | Lyndon Redona | Nursing Facility/Intermediate Care Facility | 94-1065 Lumiaina St, Waipahu, HI 96797-3912 | 2016-12-30 |
| 1073069134 | Manilyn B Nagtalon | Nursing Facility/Intermediate Care Facility | 91-1002 Fort Weaver Rd, Ewa Beach, HI 96706-2229 | 2016-08-29 |
| 1659658664 | Craigside Retirement Residence | Nursing Facility/Intermediate Care Facility | 15 Craigside Pl, Honolulu, HI 96817-1799 | 2011-11-04 |
| 1457412066 | Kohala Hospital | Nursing Facility/Intermediate Care Facility | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-13 |
| 1699782342 | Kahala Senior Living Community Inc | Nursing Facility/Intermediate Care Facility | 4389 Malia St, Honolulu, HI 96821-1106 | 2006-08-02 |
| 1124063003 | Pc Care Corp | Nursing Facility/Intermediate Care Facility | 919 Lehua Ave, Pearl City, HI 96782-3328 | 2006-06-17 |
| 1558346528 | Maunalani Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 5113 Maunalani Cir, Honolulu, HI 96816-4019 | 2005-12-13 |
| 1376525584 | Diversified Health Services | Nursing Facility/Intermediate Care Facility | 1900 Bachelot St, Honolulu, HI 96817-2431 | 2005-11-15 |
| 1992792733 | Hale Kupuna Heritage Home, LLC | Nursing Facility/Intermediate Care Facility | 4297c Omao Rd, Koloa, HI 96756-9624 | 2005-10-05 |
| 1598765414 | Leki, Incorporated | Nursing Facility/Intermediate Care Facility | 469 Ena Rd, 2301, Honolulu, HI 96815-1749 | 2005-07-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.