NPIMap

Organization Active NPI

Liliha Kupuna SNF, LLC.

Doing business as Clarence T.C. Ching Villas at St. Francis

  • Skilled Nursing Facility
  • Honolulu, HI
National Provider Identifier
1164815338
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LILIHA KUPUNA SNF, LLC.
Doing business as
Clarence T.C. Ching Villas at St. Francis
Practice address
2230 Liliha St
Honolulu, HI 96817-1646
Phone
(808) 547-6003
NPI assigned
Mar 12, 2015
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. Randall Hata
Title
Chief Financial Officer/VP
Phone
(808) 247-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2230 Liliha St
Honolulu, HI 96817-1646

Mailing address

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

Other names 1

  • CLARENCE T.C. CHING VILLAS AT ST. FRANCIS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150702002610 HI Part A Provider - Skilled Nursing Facility 3678885639 Practice locations: Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164815338. Details of each certification follow.

Skilled nursing facility certification: CCN 125064

Legal name
LILIHA KUPUNA SNF LLC
Doing business as
THE CHING VILLAS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 23, 2015
Last certification
Dec 13, 2024
Beds
163
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Ohana Pacific Management Company, INC.
Organization structure
LLCProprietary
Incorporated
Apr 23, 2014 in HI
Enrollment address
2230 Liliha St
Ste 500
Honolulu, HI 96817-1697
Nursing home name
THE CHING VILLAS
Affiliated entity
OHANA PACIFIC MANAGEMENT CO.

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Ching VillasCCN 125064 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 23, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
163144.5 residents per day on average
Chain
Ohana Pacific Management Co.6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Liliha Kupuna SNF LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2230 Liliha St
Ste 500
Honolulu, HI 96817
Phone (808) 547-6027

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Dusty Davis Individual Operational/Managerial Control Mar 14, 2022
Adp of the SNF Mar 14, 2022
Richard S. Kishaba 2010 Dynasty Trust Organization, Kaneohe, HI 5% Or Greater Indirect Ownership Interest Jul 30, 2010 90%
Indirect Ownership Interest Jul 30, 2010 90%
St. Francis Healthcare System Organization, Honolulu, HI Corporation, Non-profit Adp of the SNF Apr 9, 2015
Ohana Pacific Management Company Inc Organization, Kaneohe, HI Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 23, 2014 100%
Operational/Managerial Control Apr 23, 2014
Adp of the SNF Nov 24, 2025
Direct Ownership Interest Apr 23, 2014 100%
Randall I Hata Individual Operational/Managerial Control Dec 15, 2014
Adp of the SNF Dec 15, 2014
Richard S Kishaba Individual 5% Or Greater Indirect Ownership Interest Dec 15, 2014 10%
Operational/Managerial Control Dec 15, 2014
Adp of the SNF Dec 15, 2014
Indirect Ownership Interest Dec 15, 2014 10%
Wesley Lo Individual Operational/Managerial Control Jan 1, 2020
Adp of the SNF Jan 1, 2020
Andrew Lore Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Pamela McClennon Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Arnold WH Kop Individual Operational/Managerial Control Nov 1, 2023
Adp of the SNF Nov 1, 2023
Suanne Morikuni Individual Operational/Managerial Control Jan 1, 2015
Adp of the SNF Jan 1, 2015
First Hawaiian Bank Organization, Honolulu, HI Corporation, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Dec 27, 2019 100%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 10

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1164815338",
    "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": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILIHA KUPUNA SNF, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HATA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER/VP",
        "authorized_official_telephone_number": "808-247-0003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARENCE T.C. CHING VILLAS AT ST. FRANCIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.