NPIMap

Organization Active NPI

Stay at Home Healthcare Services, LLC

  • Home Health Agency
  • Lihue, HI
National Provider Identifier
1144568452
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA-60 Issued in HI
Legal business name
STAY AT HOME HEALTHCARE SERVICES, LLC
Practice address
3-3367 Kuhio Hwy
Lihue, HI 96766-1034
Phone
(808) 245-5121
NPI assigned
Jan 21, 2013
Last updated
Jan 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Mr. Randall Hata
Title
Cfo
Phone
(808) 247-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA-60 HI Primary

Addresses

Primary practice location

3-3367 Kuhio Hwy
Lihue, HI 96766-1034

Mailing address

45-181 Waikalua Rd
Kaneohe, HI 96744-2765
Phone (808) 247-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000674 HI Part A Provider - Home Health Agency 9537305156 1 other NPI on this enrollment
Practice locations: Hilo, HI; Lihue, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144568452. Details of each certification follow.

Home health agency certification: CCN 127311

Legal name
STAY AT HOME HEALTHCARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 29, 2015
Last certification
Jul 19, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2011 in HI
Enrollment address
3-3367 Kuhio Hwy
Lihue, HI 96766-1034
HHA Branch

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health KauaiCCN 127311 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Stay at Home Healthcare Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ohana Pacific Management Company Inc Organization, Kaneohe, HI Corporation 5% Or Greater Direct Ownership Interest Apr 5, 2011 100%
Randall I Hata Individual Corporate OfficerVice President Apr 5, 2011
Richard S Kishaba Individual Corporate OfficerPresident Apr 5, 2011
Suanne Morikuni Individual W-2 Managing EmployeeCfo Jan 1, 2022

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1144568452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-181 WAIKALUA RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442765",
            "telephone_number": "808-247-0003",
            "fax_number": "808-247-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3367 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661034",
            "telephone_number": "808-245-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HATA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-247-0003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": "HHA-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.