MENTAL HEALTH KOKUA (NPI# 1619392628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619392628 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH KOKUA |
| Practice Address |
91-1030 Fort Weaver Rd Ewa Beach HI 96706-2229 |
| 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 |
| 1093130007 | Mental Health Kokua | Assisted Living Facility | 4510 Sierra Dr, Sierra House, Honolulu, HI 96816-4024 | 2014-02-27 |
| Street Address |
91-1030 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| 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 |
|---|---|---|---|---|
| 1780009076 | Mental Health Kokua | Assisted Living Facility | 91-1001 Niolo St, Ewa Beach, HI 96706-5116 | 2014-02-24 |
| 1437574829 | Steadfast Housing Development Corp | Assisted Living Facility | 91-924 Ikulani St, Ewa Beach, HI 96706-2208 | 2014-02-21 |
| 1174947790 | Jornacion, Romera A. Dba Aloha Lifeline | Assisted Living Facility | 91-983 Ikulani St, Ewa Beach, HI 96706-2207 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600204 | Breaking Boundaries Recovery Services | Assisted Living Facility | 45-550 Halekou Rd, Apt. B, Kaneohe, HI 96744-5215 | 2014-04-23 |
| 1861812406 | Delia Laurena Adult Residential Care Home LLC | Assisted Living Facility | 1654 Hauiki St, Honolulu, HI 96819-2614 | 2014-04-22 |
| 1114346632 | Mental Health Kokua | Assisted Living Facility | 1592 Mill St, Wailuku, HI 96793-1949 | 2014-04-11 |
| 1346669868 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-177a Orange St, Waianae, HI 96792-2265 | 2014-04-11 |
| 1164841680 | Mental Health Kokua | Assisted Living Facility | 75-5748 Alanoe Street, Hale Alan, Kailua Kona, HI 96740 | 2014-04-11 |
| 1588080204 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-028 Makau St, Waianae, HI 96792-1822 | 2014-03-06 |
| 1285050807 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-808 Lihue St, Waianae, HI 96792-2431 | 2014-03-06 |
| 1265858880 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-841 Lihue St, Waianae, HI 96792-2453 | 2014-03-06 |
| 1841616463 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-920 Lahaina St, Waianae, HI 96792-2237 | 2014-03-06 |
| 1184040701 | Breaking Boundaries Recovery Services | Assisted Living Facility | 86-619 Puuhulu Rd, Waianae, HI 96792-2724 | 2014-03-06 |
| 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.