NPIMap

Organization Active NPI

Honokaa Hospital & Skilled Nursing

  • Nursing Facility/Intermediate Care Facility
  • Honokaa, HI
National Provider Identifier
1053497040
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OHCA# 41-N Issued in HI
Legal business name
HONOKAA HOSPITAL & SKILLED NURSING
Practice address
45-547 Plumeria St
Honokaa, HI 96727-6902
Phone
(808) 775-7211
Fax
(808) 775-9977
NPI assigned
Oct 31, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerry Pitcher
Title
Hospital Administrator
Phone
(808) 932-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OHCA# 41-N HI Primary

Addresses

Primary practice location

45-547 Plumeria St
Honokaa, HI 96727-6902

Mailing address

45-547 Plumeria St
Honokaa, HI 96727-6902
Phone (808) 775-7211

Other identifiers 4

IdentifierTypeStateIssuer
C0001564OtherHIHMSA/HMSAQUEST SNF
A0001568OtherHIHMSA/65C/HMSAQUEST ACUTE
578263MedicaidHI
H0001563OtherHIHMSA/HMSAQUEST OUTPATIENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000569 HI Part A Provider - Critical Access Hospital 7810926029 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honokaa, HI
O20160114002067 HI Part A Provider - Skilled Nursing Facility 7810926029 Practice locations: Honoka'a, HI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1053497040. Details of each certification follow.

Hospital certification: CCN 121307

Legal name
HONOKAA HOSPITAL & SKILLED NURSING
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 23, 2005
Last certification
Jan 17, 2020
Beds
11
Ownership / control type
State
Organization structure
OtherNon-profit
Incorporated
Nov 3, 1997 in HI
Enrollment address
45-547 Plumeria St
Honokaa, HI 96727-6902
Other Hospital Practice Location

Skilled nursing facility certification: CCN 125032

Legal name
HONOKAA HOSPITAL & SKILLED NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1977
Last certification
Nov 22, 2024
Beds
66
Ownership / control type
State
Multi-facility organization
Hawaii Health Systems Corporation
Organization structure
OtherNon-profit
Enrollment address
45-547 Plumeria St
Honoka'a, HI 96727-6902
Nursing home name
HONOKA'A HOSPITAL & SKILLED NURSING
Affiliated entity
HAWAII HEALTH SYSTEMS CORPORATION

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Honoka'a Hospital and Skilled NursingCCN 121307 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
Honoka'a Hospital & Skilled NursingCCN 125032 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jan 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6656.9 residents per day on average
Chain
Hawaii Health Systems Corporation7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stephen M Smith Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate Director Feb 24, 2018
Daniel H Belcher Individual Corporate DirectorBoard Member Jan 1, 2014
Corporate Director Jun 1, 2020
Randall Kurohara Individual Corporate DirectorBoard Member Feb 1, 2021
Corporate Director Feb 1, 2021
Lara Gomez Individual Corporate Director Nov 1, 2022
Jay M Ignacio Individual Corporate Director Apr 1, 2019
Yvonne Wong Individual Corporate Director Oct 1, 2022
Daniel John Brinkman Individual Corporate OfficerRegional Ceo Aug 10, 2014 100%
Operational/Managerial ControlRegional Ceo Aug 10, 2014 100%
Corporate OfficerCeo Jun 22, 2015 100%
Rae a Yamanaka Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate Director May 17, 2016
Chad Keone Farias Individual Corporate Director Mar 1, 2021
Joseph F Skruch Individual Corporate Director Mar 15, 2022
Deanna S Sako Individual Corporate Director Sep 1, 2018
Jennifer L Zelko-Schlueter Individual Corporate Director Jul 1, 2022
Joni Mu Waltjen Individual Corporate OfficerRegional Cfo Apr 16, 2018 100%
W-2 Managing Employee Apr 23, 2001
Brenda S Ho Individual Corporate DirectorBoard Member Jan 1, 2014
Corporate Director Jul 1, 2016
Hawaii Health Systems Corporation Organization, Honolulu, HI Corporation Operational/Managerial Control Jul 1, 1996
Denise a Mackey Individual Corporate OfficerHospital Administrator May 1, 2017 100%
Operational/Managerial ControlHospital Administrator May 1, 2017 100%
Corporate Officer May 1, 2017
Clarysse K Nunokawa Individual Corporate Director Jun 1, 2019
Jerry L Gray Individual Corporate DirectorBoard Member Jan 1, 2018
Corporate Director Feb 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 24

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1053497040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-547 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7211",
            "fax_number": "808-775-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-547 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7211",
            "fax_number": "808-775-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOKAA HOSPITAL & SKILLED NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "PITCHER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "808-932-3588"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "OHCA# 41-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/HMSAQUEST SNF",
            "identifier": "C0001564",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/65C/HMSAQUEST ACUTE",
            "identifier": "A0001568",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578263",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/HMSAQUEST OUTPATIENT",
            "identifier": "H0001563",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

Verify at the official NPI Registry.