Active NPI
Hale Ola Kino by Arcadia
- Skilled Nursing Facility
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HALE OLA KINO BY ARCADIA
- Practice address
- 1314 Kalakaua Ave
Honolulu, HI 96826-1900 - Phone
- (808) 983-1838
- Fax
- (808) 949-4965
- NPI assigned
- Sep 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Schulberg, NHA
- Title
- President & Ceo
- Phone
- (808) 983-1838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1314 Kalakaua Ave
Honolulu, HI 96826-1900
Mailing address
1314 Kalakaua Ave
Honolulu, HI 96826-1900
Phone (808) 983-1838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221025002840 | HI | Part A Provider - Skilled Nursing Facility | 8325414824 | Practice locations: Honolulu, HI |
Skilled nursing facility certification: CCN 125069
- Legal name
- HALE OLA KINO BY ARCADIA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 24, 2023
- Last certification
- Feb 21, 2025
- Beds
- 32
- Ownership / control type
- Corporation
- Multi-facility organization
- Arcadia Family of Companies
- Organization structure
- Corporation
- Incorporated
- Jul 27, 2022 in HI
- Enrollment address
- 1314 Kalakaua Ave 2ND Floor
Honolulu, HI 96826-1908 - Nursing home name
- HALE OLA KINO BY ARCADIA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hale Ola Kino by Arcadia
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Mar 24, 2023
- Medicare certification status
- Active
- Certified beds
- 32
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0932647 | Hale Ola Kino by Arcadia | Certificate of waiver | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rushan Sinnaduray | Corporate Director | Jan 1, 2024 | |
| Albert Koehl | Corporate Director | Jan 1, 2024 | |
| Martin Zorn | Corporate Director | Nov 1, 2022 | |
| Raoul Magana | Corporate Director | Jan 1, 2025 | |
| Kent Reinker | Corporate Director | Nov 1, 2022 | |
| Roselle Salon | Operational/Managerial Control | Aug 16, 2024 | |
| Adp of the SNF | Aug 16, 2024 | ||
| Suzie Schulberg | Corporate Officer | Jul 27, 2022 | |
| Adp of the SNF | Nov 1, 2022 | ||
| David Popham | Corporate Director | Nov 1, 2022 | |
| Andrew R Bunn | Corporate Director | Nov 1, 2022 | |
| Vivian Lai | Corporate Officer | Jul 27, 2022 | |
| Adp of the SNF | Nov 1, 2022 | ||
| Arcadia Elder Services | Operational/Managerial Control | Nov 1, 2022 | |
| Adp of the SNF | Feb 27, 2025 | ||
| Arcadia Community Services | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 100% |
| Kiyotaka a Yazawa | Operational/Managerial Control | Nov 1, 2022 | |
| Adp of the SNF | Feb 27, 2025 | ||
| Bree Komagome | Operational/Managerial Control | Oct 1, 2023 | |
| Adp of the SNF | Oct 1, 2023 | ||
| Laura R.N. Reichhardt | Corporate Director | Nov 1, 2022 | |
| Lucas Sayin | Corporate Director | Nov 1, 2022 | |
| Corlis Chang | Corporate Director | Nov 1, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Honolulu, HI
- NPI 1184694192
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Honolulu, HI
- NPI 1053310771
Arcadia Elder Services
-
- Nursing Facility/Intermediate Care Facility
- Honolulu, HI
- NPI 1659658664
Arcadia Community Services, Arcadia Elder Services
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Honolulu, HI
- NPI 1184694192
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1023739588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 KALAKAUA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261900",
"telephone_number": "808-983-1838",
"fax_number": "808-949-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 KALAKAUA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261900",
"telephone_number": "808-983-1838",
"fax_number": "808-949-4965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALE OLA KINO BY ARCADIA",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "SCHULBERG",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "808-983-1838",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.