Careresource Hawaii
Organization Active NPI Home Health Agency · Honolulu, HI
NPI 1245299114 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1245299114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA-16 (HI)
- Legal business name
- CARERESOURCE HAWAII
- Practice address
- 680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388 - Phone
- (808) 599-4999
- Fax
- (808) 531-2832
- NPI assigned
- Mar 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thad Wakasugi
- Title
- Controller
- Phone
- (808) 599-4999
Owners & managing parties with NPI records 1
-
Sarah M Racsa, M.D.
Corporate family (same tax ID) 8
Member of 1
Affiliated clinicians 53
-
Masahisa Amano, M.D.
-
Timothy Thomas Kawika Au, M.D.
-
Jessica Suzanne Barry, M.D.
-
Michiko Kimura Bruno, M.D.
-
Henry Cacanindin, M.D.
-
Todd James China, M.D.
-
Loan-Thy Dang, M.D.
-
Carolina Dominica Davide, M.D.
-
John Edward Deboard, M.D.
-
Gina Fujikami, M.D.
-
Ian Guerrero, M.D.
-
Janice Harada, M.D.
-
Michael Ishioka, M.D.
-
Johanna Javier, DO
-
Mai Kinimaka, APRN-RX
Medicare Care Compare: Home health agency
- Listed as
- Careresource Hawaii
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Non-Profit
- Certified
- Mar 25, 1986
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Home health agency certification: CCN 127013
- Legal name
- CARERESOURCE HAWAII
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 25, 1986
- Last certification
- Aug 4, 2016
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 680 Iwilei Rd
Ste 490
Honolulu, HI 96817-5389
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Gregg Y Oishi |
Corporate Director |
Jan 1, 2000 | |
| June Drumeller |
Corporate Director | Jan 1, 2017 | |
| Scott Whiting |
Corporate Officer | Jan 1, 2023 | |
| Clinton Yee |
Corporate Director | Jan 1, 2020 | |
| Thanh Hong T Tran |
W-2 Managing Employee | Mar 3, 2023 | |
| Hermina H Taylor |
Corporate Director | Jan 1, 2020 | |
| Gary K Kajiwara |
Corporate Director | Jan 1, 1996 | |
| Shaun E Marsh |
W-2 Managing Employee |
Apr 8, 2024 | 100% |
| Janice Loo |
Corporate Director | Jan 1, 1996 | |
| Sarah M Racsa |
W-2 Managing Employee |
Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040504001691 | HI | Part a Provider - Home Health Agency | 8921096272 | Practice locations: Honolulu, HI |
National Provider Directory
- Tax ID family
- Careresource Hawaii
Locations
680 Iwilei Rd
Ste 490
Honolulu, HI 96817
Phone (808) 599-4999
702 S Beretania St
#3B
Honolulu, HI 96813
Phone (808) 547-4663
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA-16 | HI | Yes |
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388
Mailing address
680 Iwilei Rd
Suite 660
Honolulu, HI 96817-5388
Phone (808) 599-4999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50601600 | Other | HI | ALOHACARE QUEST |
| 506016-01 | Medicaid | HI | |
| 533275-02 | Medicaid | HI | |
| 533275-04 | Medicaid | HI | |
| 533275-03 | Medicaid | HI | |
| 533275-05 | Medicaid | HI | |
| 12-7013 | Other | HI | OTHER MEDICARE PFFS/HMO |
| 12-7013A | Other | HI | ALOHACARE ADVANTAGE |
| 533275-01 | Medicaid | HI | |
| A002543-5 | Other | HI | HMSA (PRIVATE INSURER) |
Other providers in Honolulu, HI
- Care Hawaii, Inc.
- Care Hawaii, Inc.
- Care Hawaii, Inc.
- Carehalo West LLC
- Caremark LLC
- Careresource Hawaii
- Careresource Hawaii
- Michael Carethers
- Keely Christine Paola Carey
- Carissa K Cariaga
All providers in Honolulu, HI · Home Health Agency in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.