Kaiser Foundation Hospitals

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KAISER FOUNDATION HOSPITALS

Doing business as

Kaiser Permanente Care at Home, Oahu Hospice

Practice address

3288 Moanalua Rd
Honolulu, HI 96819-1469

Phone

(808) 265-7481

NPI assigned

Feb 24, 2023

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

KAISER FOUNDATION HOSPITALSAs reported in NPPES

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

Authorized official

Name

James Adams

Title

Hawaii Market Area Cfo

Phone

(808) 265-6758

Specialties & licenses 1

Addresses

Other names 1

• Kaiser Permanente Care at Home, Oahu Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073212460. Details of each certification follow.

• CCN 121512 Hospice · Active · Details

Hospice certification: CCN 121512

Legal name

KAISER FOUNDATION HOSPITALS

Doing business as

KAISER PERMANENTE CARE AT HOME, OAHU HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 23, 2024

Last certification

Apr 4, 2024

Organization structure

CorporationNon-profit

Incorporated

Feb 19, 1948 in CA

Enrollment address

3288 Moanalua Rd
Honolulu, HI 96819-1469

Listed as

Kaiser Permanente Care at Home, Oahu HospiceCCN 121512 · All quality measures

Certified

Apr 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Daniel Gussin185 organizations share this tax ID, including this one

Part of

Daniel Gussin

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Pharmacy

  • Home Infusion Therapy Pharmacy
  • Honolulu, HI
  • NPI 1023159480
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Moanalua Hospital Pharmacy

  • Managed Care Organization Pharmacy
  • Honolulu, HI
  • NPI 1023415593
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Pharmacy

  • Managed Care Organization Pharmacy
  • Honolulu, HI
  • NPI 1083755441
  NPD tax ID
• Kaiser Foundation Hospitals

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1396813861
  NPD tax ID
• Kaiser Foundation Hospitals

  • Home Health Agency
  • Honolulu, HI
  • NPI 1417007550
  NPD tax ID
• Kaiser Foundation Hospitals

  dba Kaiser Kihei Pharmacy

  • Managed Care Organization Pharmacy
  • Kihei, HI
  • NPI 1629119359
  NPD tax ID
• Malama Ohana Nursing and Rehab Center

  • Skilled Nursing Facility
  • Honolulu, HI
  • NPI 1477875318
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Regina M Benjamin, MD

  • Family Medicine Physician
  • Bayou la Batre, AL
  • NPI 1033188339

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 80

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Affiliated clinicians 3

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

• Dylan J. Sheridan, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1477815777

  Hospice

  Care Compare affiliation
• Johnnie A. Yates, MD

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1083796197

  Hospice

  Care Compare affiliation
• Monica C Romanko, M.D.

  • Family Medicine Physician
  • Milton, VT
  • NPI 1568498723

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1073212460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-265-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-265-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER FOUNDATION HOSPITALS",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "HAWAII MARKET AREA CFO",
        "authorized_official_telephone_number": "808-265-6758"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Permanente Care at Home, Oahu Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaiser Foundation Health Plan Inc (Kaiser Permanente Regional Laboratory)
• Kaiser Foundation Health Plan Inc
• Kaiser Foundation Health Plan Inc (Kaiser Hawaii Kai Clinic Laboratory)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Pharmacy)
• Kaiser Foundation Hospitals (Kaiser Moanalua Hospital Pharmacy)
• Kaiser Foundation Hospitals (Kaiser Foundation Hospital Pharmacy)
• Kaiser Foundation Hospitals
• Kaiser Foundation Hospitals
• Kaiser Permanante
• Kaiser Permanente

• Community Based Hospice Care Agency in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Community Based Hospice Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.

Verify at the official NPI Registry.