Active NPI
Kuakini Geriatric Care, Inc.
- Nursing Facility/Intermediate Care Facility
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 25-N
- Legal business name
- KUAKINI GERIATRIC CARE, INC.
- Practice address
- 347 N Kuakini St
Honolulu, HI 96817-2306 - Phone
- (808) 536-2236
- NPI assigned
- Jun 1, 2005
- 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
- Mr. Gary K Kajiwara
- Title
- President and Ceo
- Phone
- (808) 547-9231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 25-N | HI | Primary |
Addresses
Primary practice location
347 N Kuakini St
Honolulu, HI 96817-2306
Mailing address
347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 547-9231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006236 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160105000817 | HI | Part A Provider - Skilled Nursing Facility | 9234431495 | Practice locations: Honolulu, HI |
Skilled nursing facility certification: CCN 125026
- Legal name
- KUAKINI GERIATRIC CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1976
- Last certification
- Jan 8, 2025
- Beds
- 187
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 7, 1983 in HI
- Enrollment address
- 347 N. Kuakini Street
Honolulu, HI 96817 - Nursing home name
- KUAKINI GERIATRIC CARE, INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kuakini Geriatric Care, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1976
- Medicare certification status
- Active
- Certified beds
- 187
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
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 |
|---|---|---|---|
| 12D2110300 | Kuakini Geriatric Care Inc | Certificate of waiver | Mar 10, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gregg Y Oishi | W-2 Managing Employee | Apr 1, 2024 | 100% |
| Trustee of the SNF | Apr 1, 2024 | ||
| Steven Ai | Corporate Director | Jan 1, 2014 | |
| Trustee of the SNF | Apr 1, 2024 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Kuakini Health System | 5% Or Greater Direct Ownership Interest | Jul 7, 1983 | 100% |
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1316137045
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1609108315
-
- Family Medicine Physician
- Honolulu, HI
- NPI 1023270394
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1417153008
-
- Specialist
- Honolulu, HI
- NPI 1164463436
-
- Geriatric Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1154616779
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1740575422
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1093788440
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1154616779
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452038400000",
"number": "1154325405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 N KUAKINI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172306",
"telephone_number": "808-547-9231",
"fax_number": "808-547-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 N KUAKINI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172306",
"telephone_number": "808-536-2236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUAKINI GERIATRIC CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2016-01-06",
"status": "A",
"authorized_official_last_name": "KAJIWARA",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "808-547-9231",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "HI",
"license": "25-N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006236",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
- Krzys Chin LMFT L.L.C. (Krzystof Chin)
- Ku Aloha Ola Mau
- Ling Ku, L.AC.
- Kuakini Development Corporation
- Kuakini Emergency Physicians Service Oahu, LLC
- Kuakini Medical Center
- Kuakini Medical Center
- Kuakini Pathologlists, LLC
- Kuakini Support Services, Inc. (Kuakini Health Clinic)
- Jaime Noriko Kuamo'O, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.