MENTAL HEALTH KOKUA (NPI# 1093130007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093130007 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH KOKUA |
| Practice Address |
4510 Sierra Dr Sierra House Honolulu HI 96816-4024 |
| Mailing Address |
1221 Kapiolani Blvd Ste 345 Honolulu HI 96814-3503 |
| Practice Telephone | 8087372523 |
| Mailing Telephone | 8087372523 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | GREG PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8087372523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114346632 | Mental Health Kokua | Assisted Living Facility | 1592 Mill St, Wailuku, HI 96793-1949 | 2014-04-11 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1164841680 | Mental Health Kokua | Assisted Living Facility | 75-5748 Alanoe Street, Hale Alan, Kailua Kona, HI 96740 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| 1053736058 | Mental Health Kokua | Assisted Living Facility | 139 Amau Rd, Hale Amau, Hilo, HI 96720-1402 | 2014-02-27 |
| 1922423938 | Mental Health Kokua | Assisted Living Facility | 1598 Mill St, Wailuku, HI 96793-1949 | 2014-02-27 |
| 1144645144 | Mental Health Kokua | Assisted Living Facility | 1296 Hooli Cir, Duplex 11, Pearl City, HI 96782-1907 | 2014-02-27 |
| 1588089585 | Mental Health Kokua | Assisted Living Facility | 140 Wainaku St, Patch 4, Hilo, HI 96720-2309 | 2014-02-27 |
| 1477978484 | Mental Health Kokua | Assisted Living Facility | 208 Wainaku St, Hilo, HI 96720-2311 | 2014-02-27 |
| 1982029906 | Mental Health Kokua | Community/Behavioral Health | Kawaiapua Blvd, Ste 108, Kualapuu, HI 96757 | 2014-02-27 |
| Street Address |
4510 SIERRA DR SIERRA HOUSE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96816-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1184272007 | Gwen Mikasa | Speech-Language Pathologist | Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 | 2019-09-04 |
| 1467009290 | Abigail Hobbs | Occupational Therapist | 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 | 2019-08-26 |
| 1588210587 | Mona Ann Hiyoto Akina | Speech-Language Pathologist | 475 2nd Ave., Room 127, Honolulu, HI 96816 | 2019-08-15 |
| 1356996599 | Karen Amanda Kama | Speech-Language Pathologist | Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 | 2019-08-05 |
| 1043864630 | Brittni Holt | Speech-Language Pathologist | 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 | 2019-07-31 |
| 1376197962 | Mallory Register | Speech-Language Pathologist | 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 | 2019-07-31 |
| 1588144935 | Mihoko Yacavone | Dietitian, Registered | 833 15th Ave, Honolulu, HI 96816 | 2018-08-15 |
| 1760976013 | Orthopaedic Specialists Hawaii LLC | Orthopaedic Surgery | 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 | 2018-06-20 |
| 1790207389 | Richard Todd Robbins Jr. | Behavior Technician | 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 | 2017-07-14 |
| Find all providers in zip 96816 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861812406 | Delia Laurena Adult Residential Care Home LLC | Assisted Living Facility | 1654 Hauiki St, Honolulu, HI 96819-2614 | 2014-04-22 |
| 1679998678 | Steadfast Housing Development Corp | Assisted Living Facility | 1019-b 8th Avenue, Honolulu, HI 96816-2490 | 2014-02-27 |
| 1811312978 | Breaking Boundaries Recovery Services | Assisted Living Facility | 1676 Piikea St, Honolulu, HI 96818-1843 | 2014-02-26 |
| 1871918144 | Mental Health Kokua | Assisted Living Facility | 3443 Pahoa Ave, Hale Alohi, Honolulu, HI 96816-2158 | 2014-02-24 |
| 1689099061 | Steadfast Housing Development Corp | Assisted Living Facility | 1025 2nd Ave, Honolulu, HI 96816-1406 | 2014-02-21 |
| 1710302104 | Mental Health Kokua | Assisted Living Facility | 1316 Dominis St, Honolulu, HI 96822-3018 | 2014-02-21 |
| 1326462953 | Prieto, Gloria Albano Dba Prieto Arch & Expanded Care Arch, LLC | Assisted Living Facility | 3504 Likini St, Honolulu, HI 96818-2105 | 2014-02-18 |
| 1245654870 | Mukai, Joyce R. | Assisted Living Facility | 2465 Ala Wai Blvd Apt 904, Honolulu, HI 96815-3432 | 2014-02-18 |
| 1497170765 | Mental Health Kokua | Assisted Living Facility | 41 S Beretania St, Safe Haven, Honolulu, HI 96813-2220 | 2014-02-24 |
| 1174948681 | Talavera, Elsa P. Dba Islandcare Management | Assisted Living Facility | 1188 Bishop St, Suite 1508, Honolulu, HI 96813-3301 | 2014-02-20 |
| Find all providers in HONOLULU | ||||
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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.