SAMUEL MAHELONA MEMORIAL HOSPITAL (NPI# 1508927427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508927427 |
Entity Type | Organization |
Organization Name | SAMUEL MAHELONA MEMORIAL HOSPITAL |
Practice Address |
4800 Kawaihau Road Kapaa HI 96746-1998 |
Practice Telephone | 8083389431 |
Practice Fax Number | 8083389420 |
Mailing Telephone | 8083389431 |
Mailing Fax Number | 8083389420 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2016-11-16 |
Authorized Official Name | MS. RACHELLE M D LORENZO (CFO) |
Authorized Official Telephone | 8083389431 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 22-H | HI | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | 592396 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255406575 | Samuel Mahelona Memorial Hospital | Psychiatric Unit | 4800 Kawaihau Road, Kapaa, HI 96746-1998 | 2006-11-21 |
1346419553 | Samuel Mahelona Memorial Hospital | Specialist | 4800 Kawaihau Rd, Kapaa, HI 96746 | 2008-02-22 |
1619038536 | Samuel Mahelona Memorial Hospital | General Acute Care Hospital | 4800 Kawaihau Road, Kapaa, HI 96746 | 2006-12-13 |
1528129442 | Samuel Mahelona Memorial Hospital | Nursing Facility/Intermediate Care Facility | 4800 Kawaihau Road, Kapaa, HI 96746 | 2006-12-13 |
Street Address |
4800 KAWAIHAU ROAD |
City | KAPAA |
State | HI |
Zip Code | 96746-1998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255406575 | Samuel Mahelona Memorial Hospital | Psychiatric Unit | 4800 Kawaihau Road, Kapaa, HI 96746-1998 | 2006-11-21 |
1619038536 | Samuel Mahelona Memorial Hospital | General Acute Care Hospital | 4800 Kawaihau Road, Kapaa, HI 96746 | 2006-12-13 |
1528129442 | Samuel Mahelona Memorial Hospital | Nursing Facility/Intermediate Care Facility | 4800 Kawaihau Road, Kapaa, HI 96746 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487269965 | Joshua Ley | Physical Therapist | 5633 Kawaihau Road, Bldg 2a-12, Kapaa, HI 96746 | 2020-09-11 |
1740833896 | Aida Rivada Mendoza | Community Health Worker | Kapaa Waiver Program Service Center, 4800 Kawaihau Road #f, Kapaa, HI 96746 | 2019-07-18 |
1154892511 | Katherine O'donnell | Physical Therapist | 5633 Kawaihu Road, Bldg 2a-12, Kapaa, HI 96746 | 2018-12-11 |
1447734371 | Mehrnaz Motazedian | Behavioral Analyst | 5519 Kula Mauu, Kapaa, HI 96746 | 2018-09-17 |
1942713011 | Briana Marie Uribe | Behavioral Analyst | 3-312 Kuhio Hwy, Lihue, HI 96746 | 2017-11-13 |
1639692361 | Garden Isle Caregivers | Foster Care Agency | 5362 Olopua St, Kapaa, HI 96746 | 2017-07-25 |
1598122723 | Catherine Clement | Counselor | 1435 Kuhio Hwy. Suite 206, Kapaa, HI 96746 | 2016-01-19 |
1598120735 | Makana Mardonada | Social Worker | 5839 Waipouli Rd, Kapaa, HI 96746 | 2015-12-15 |
1740526938 | Kauai In-home Therapy LLC | Clinic/Center | 2-2514 Kaumualii Highway Ste. 205, Kalaheo, HI 96746 | 2012-12-17 |
1972877058 | Carole L. Duby | Massage Therapist | 365 Papaloa Rd, Kapa'a, HI 96746 | 2012-03-07 |
Find all providers in zip 96746 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083181226 | Maui Health System A Kaiser Foundation Hospitals LLC | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2018-10-25 |
1942550173 | Kona Hospital | Medicare Defined Swing Bed Unit | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2012-09-14 |
1881858447 | Kahuku Medical Center | Medicare Defined Swing Bed Unit | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2008-07-14 |
1912062779 | Kohala Hospital | Medicare Defined Swing Bed Unit | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-22 |
1649345968 | Kauai Veterans Memorial Hospital | Medicare Defined Swing Bed Unit | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-21 |
1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
1639257793 | Kula Hospital | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2006-11-02 |
1629154604 | Hale Ho'ola Hamakua | Medicare Defined Swing Bed Unit | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-31 |
1225113442 | Wilcox Memorial Hospital | Medicare Defined Swing Bed Unit | 3-3420 Kuhio Hwy, Lihue, HI 96766-1099 | 2006-10-26 |
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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.