NPIMap

Organization Active NPI

Islands Hospice, Inc.

  • Community Based Hospice Care Agency
  • Honolulu, HI
National Provider Identifier
1184932345
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ISLANDS HOSPICE, INC.
Practice address
1003 Bishop St Ste 910
Honolulu, HI 96813-6400
Phone
(808) 550-2552
Fax
(808) 550-2551
NPI assigned
Sep 21, 2010
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Chris Lackner
Title
Member
Phone
(405) 412-4909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

1003 Bishop St Ste 910
Honolulu, HI 96813-6400

Mailing address

7817 Ivanhoe Ave Ste 101
La Jolla, CA 92037-4541
Phone (918) 576-3070

Other practice location 1

833 Makalii St
Kahului, HI 96732-2620
Phone (808) 856-8989

Other practice location 2

149 Maa St Ste 100
Kahului, HI 96732-3633
Phone (808) 856-8989

Other practice location 3

2449 10th Ave
Honolulu, HI 96816-3051
Phone (808) 550-2552

Other practice location 4

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090812000687 HI Part A Provider - Hospice 1254494172 1 other NPI on this enrollment
Practice locations: Honolulu, HI; Kahului, HI
O20191112003611 HI Part B Supplier - Clinic/Group Practice 1254494172 Receives reassigned benefits from 9 practitioners
Practice locations: Kahului, HI; Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184932345. Details of each certification follow.

Hospice certification: CCN 121509

Legal name
ISLANDS HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 26, 2009
Last certification
Nov 26, 2009
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 23, 2009 in OK
Enrollment address
820 Mililiani St
Ste 400
Honolulu, HI 96813-2934

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Islands HospiceCCN 121509 · All quality measures
Ownership
Non-Profit
Certified
Nov 26, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7817 Ivanhoe Ave
Ste 101
La Jolla, CA 92037

1003 Bishop St
Ste 910
Honolulu, HI 96813

1301 Young St
Ste 300
Honolulu, HI 96814
Phone (808) 255-6695

149 Maa St
#2A
Kahului, HI 96732
Phone (808) 856-8989

149 Maa St
Ste 100
Kahului, HI 96732
Phone (808) 856-8989

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
Nicole R Smith Individual Corporate DirectorC&L Administrator May 18, 2021
Operational/Managerial ControlC&L Administrator May 18, 2021
Aden 201701, LLC Organization, San Diego, CA LLC 5% Or Greater Direct Ownership Interest May 18, 2021 100%
Christopher Lackner Individual Corporate OfficerSecretary/VP May 18, 2021 100%
Corporate DirectorVP/Secretary Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019
Kevin Michael Webb Individual Corporate OfficerPresident May 18, 2021 100%

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1184932345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 IVANHOE AVE STE 101",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374541",
            "telephone_number": "918-576-3070",
            "fax_number": "918-516-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 910",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136400",
            "telephone_number": "808-550-2552",
            "fax_number": "808-550-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Makalii St",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322620",
            "country_code": "US",
            "telephone_number": "808-856-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Maa St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967323633",
            "country_code": "US",
            "telephone_number": "808-856-8989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2449 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968163051",
            "country_code": "US",
            "telephone_number": "808-550-2552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Mahalani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932526",
            "country_code": "US",
            "telephone_number": "808-244-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLANDS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "LACKNER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "405-412-4909"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.