NPIMap

Organization Active NPI

Hilo Medical Investors LTD.

Doing business as Hale Anuenue Restorative Care Center

  • Skilled Nursing Facility
  • Cleveland, TN
National Provider Identifier
1376600098
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
52-N Issued in HI
Legal business name
HILO MEDICAL INVESTORS LTD.
Doing business as
Hale Anuenue Restorative Care Center
Practice address
3001 Keith St NW
Cleveland, TN 37312-3713
Phone
(423) 473-5751
Fax
(423) 339-8342
NPI assigned
Jan 2, 2007
Last updated
Jan 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary for Lcca, MGR
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 52-N HI Primary

Addresses

Primary practice location

3001 Keith St NW
Cleveland, TN 37312-3713

Mailing address

1333 Waianuenue Ave
Hilo, HI 96720-1202
Phone (808) 961-6644

Other identifiers 1

IdentifierTypeStateIssuer
083742MedicaidHI

Other names 1

  • Hale Anuenue Restorative Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000359 HI Part A Provider - Skilled Nursing Facility 4587634779 Practice locations: Hilo, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376600098. Details of each certification follow.

Skilled nursing facility certification: CCN 125045

Legal name
HILO MEDICAL INVESTORS LTD
Doing business as
HALE ANUENUE RESTORATIVE CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 24, 1996
Last certification
Feb 2, 2024
Beds
120
Ownership / control type
Partnership
Multi-facility organization
Hilo Medical Investors, LTD.
Organization structure
PartnershipProprietary
Enrollment address
1333 Waianuenue Ave
Hilo, HI 96720-1202
Nursing home name
HALE ANUENUE RESTORATIVE CARE
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hale Anuenue Restorative CareCCN 125045 · All quality measures
Overall star rating
4 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 24, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12094.3 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0912422Hale Anuenue Restorative Care Ctr1333 Waianuenue Ave, Hilo, HI 96720Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hale Anuenue Restorative Care Center2 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

1333 Waianuenue Ave
Hilo, HI 96720
Phone (808) 896-5661

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Sak Jr LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 14, 1999 24.5%
General Partnership Interest Jun 14, 1999 24.5%
SBK LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 14, 1999 24.5%
General Partnership Interest Jun 14, 1999 24.5%
Gail Kahookele Individual W-2 Managing EmployeeAdministrator Apr 22, 2018 100%
Stiles a Kellett Individual 5% Or Greater Indirect Ownership Interest Jun 14, 1999 24.5%
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit Operational/Managerial Control Sep 7, 1994 100%

Owners & managing parties with NPI records 25

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

View all 25

Facilities with the same owner 194

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

View all 194

Practitioners & affiliated clinicians

Practitioners 1

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 4

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1376600098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201202",
            "telephone_number": "808-961-6644",
            "fax_number": "808-961-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO MEDICAL INVESTORS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR LCCA, MGR",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "52-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083742",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hale Anuenue Restorative Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.