NPIMap

Organization Active NPI

Shriners Hospitals for Children

  • Children's Hospital
  • Honolulu, HI
National Provider Identifier
1316065360
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
8-H Issued in HI
Legal business name
SHRINERS HOSPITALS FOR CHILDREN
Practice address
1310 Punahou St
Honolulu, HI 96826-1099
Phone
(808) 941-4466
Fax
(808) 942-8573
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Mr. John R White, MHA
Title
Administrator
Phone
(808) 951-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 8-H HI Primary

Addresses

Primary practice location

1310 Punahou St
Honolulu, HI 96826-1099

Mailing address

PO Box 8500
Lockbox #7642
Philadelphia, PA 19178-7642
Phone (808) 951-3606

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100918000215 HI Part A Provider - Hospital 9133031933 Practice locations: Honolulu, HI
O20130626000419 HI Part B Supplier - Clinic/Group Practice 9133031933 Receives reassigned benefits from 40 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aiea, HI; Honolulu, HI

Hospital certification: CCN 123301

Legal name
SHRINERS HOSPITALS FOR CHILDREN
Certification status
Active
Provider type (POS)
Hospital – Children’s
Participating since
Mar 30, 2011
Last certification
Mar 17, 2017
Beds
24
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 18, 1925 in CO
Enrollment address
1310 Punahou St
Honolulu, HI 96826-1099
Main/Primary Hospital Location
Hospital subgroups
Children’s

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Shriners Hospital for ChildrenCCN 123301
Type
Childrens
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Shriners Hosp for Children49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Member organizations 25

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

View all 25

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
William B. Rasner Individual Corporate DirectorTrustee Jul 7, 2022
Jim L Cain Individual Corporate Director Jul 3, 2008
Matthew Sturlaugson Individual Corporate OfficerSecretary Jul 3, 2025
Corporate Director Jul 12, 2020
Lawrence J Leib Individual Corporate Officer2ND Vice President Jul 4, 2024
Corporate Director Jul 13, 2017
Dale R. Vrsalovich Individual Corporate DirectorDirector Jul 4, 2024
Richelle Tressa Asselstine Individual W-2 Managing EmployeeDirector of Patient Care Services Nov 28, 2022
Martin L. Bartlett Individual Corporate OfficerAssistant Secretary Jul 3, 2025
Corporate Director Jul 12, 2020
John P McCabe Individual W-2 Managing EmployeeExecutive Vice President Oct 1, 2013
Ronald Capps Individual Corporate DirectorTrustee Jul 4, 2024
Francel Visini Individual W-2 Managing EmployeeDirector Fiscal Services Apr 5, 2023
Phillip L Grady Individual W-2 Managing EmployeeVice President, Hospital Operations Sep 1, 2019
Dennis W. Hewatt Individual Corporate DirectorTrustee Jul 3, 2025
David C. Hamm Individual Corporate Director Jul 6, 2023
Scott Allen Schuster Individual Corporate OfficerTreasurer Jul 3, 2025
Timothy L. Ludwig Individual Corporate DirectorTrustee Jul 6, 2023
Ricky Holloway Individual Corporate Director Jul 3, 2025
Mark E Hartz Individual Corporate Officer2ND Vice President Jul 3, 2025
Corporate Director Jul 19, 2018
Leslie D Stewart Individual Corporate OfficerPresident Jul 4, 2024
Corporate DirectorTrustee Jul 12, 2020
Timothy D Forbis Individual Corporate Director Jul 8, 2021
Brad T Koehn Individual Corporate OfficerTreasurer Jul 13, 2017
Corporate Director Jul 13, 2017
Kenneth G Craven Individual Corporate DirectorTrustee Jul 10, 2014
Ronald Devoll Individual Corporate Director Jul 7, 2022
Shriners Hospitals for Children Organization, Tampa, FL Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2013 100%
Operational/Managerial Control Oct 1, 2013 100%
Richard G Burke Individual Corporate Director Jul 7, 2016

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shriners Hospitals for ChildrenPhiladelphia, PA, CCN 393309 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 24, 1966
Jun 24, 1966
Shriners Hospitals for ChildrenPortland, OR, CCN 383300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 15, 1966
Jan 15, 2015
Shriners Hospitals for ChildrenGalveston, TX, CCN 453311 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 20, 1966
Mar 20, 1966
Shriners Hospitals for ChildrenSacramento, CA, CCN 053311 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Apr 15, 1997
Apr 15, 1997
Shriners Hospitals for ChildrenGreenville, SC, CCN 423300 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Aug 20, 2013
Jul 15, 2010
Shriners Children'S OhioDayton, OH, CCN 363308 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 19, 1968
Feb 19, 1968
Shriners Hospitals for ChildrenChicago, IL, CCN 143302 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966
Shriners Hospitals for ChildrenSaint Louis, MO, CCN 263304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1966
Jan 1, 1966

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1316065360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX #7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "808-951-3606",
            "fax_number": "808-942-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261099",
            "telephone_number": "808-941-4466",
            "fax_number": "808-942-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINERS HOSPITALS FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-951-3606",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "HI",
            "license": "8-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.