KAU HOSPITAL (NPI# 1801966783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801966783 |
| Entity Type | Organization |
| Organization Name | KAU HOSPITAL |
| Practice Address |
1 Kamani Street Pahala HI 96777 |
| Mailing Address |
Po Box 40 Pahala HI 96777-0040 |
| Practice Telephone | 8089282050 |
| Practice Fax Number | 8089288980 |
| Mailing Telephone | 8089282050 |
| Mailing Fax Number | 8089288980 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MRS. MERILYN HARRIS (ADMINISTRATOR) |
| Authorized Official Telephone | 8089282050 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 125028 | HI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 00567501 | 05 | |
| HI | HMSA OUTPATIENT | H005069 | 01 |
| HI | HMSA65C ACUTE | A005064 | 01 |
| HI | HMSA QUEST ICF | K005062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1164083374 | Kau Hospital | Clinic/Center | 1285 Waianuenue Ave, Hilo, HI 96720-1209 | 2019-06-27 |
| 1174777916 | Kau Hospital | Clinic/Center | 15-2662 Pahoa Village Rd, Suite 303, Pahoa, HI 96778-7730 | 2008-11-06 |
| 1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
| 1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
| Street Address |
1 KAMANI STREET |
| City | PAHALA |
| State | HI |
| Zip Code | 96777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033177605 | Darrel Wayn Killebrew | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-05-03 |
| 1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
| 1013091305 | Harold D Dow | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1649354911 | Chinyere Ekechuku | Internal Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
| 1386680916 | Carol Dexter Hayes | Family Medicine | 1 Kamani Street, Pahala, HI 96777-0000 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409614 | 5-point United Allegiance Corp. | Nursing Care | 96-3215 Hau Street, Pahala, HI 96777 | 2020-02-18 |
| 1700928413 | Kau Community Pharmacy, Inc. | Pharmacy | 96-1115 Kamani Street, Suite 36, Pahala, HI 96777 | 2007-02-12 |
| 1497846349 | Patricia Lynn Mullen | Family Medicine | 1 Kamani St, Pahala, HI 96777 | 2006-09-27 |
| 1023171725 | Elizabeth Joyce Pacarro | Nurse Practitioner | 1 Kamani St, Pahala, HI 96777 | 2006-12-18 |
| 1760627202 | Sherrian Witt | Counselor | 1 Kamani St., Pahala, HI 96777-0917 | 2008-12-12 |
| 1881856367 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 96-3163 Pikake St, Pahala, HI 96777-9997 | 2008-06-26 |
| 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 |
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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.