NPIMap

Organization Active NPI

Kauai Veterans Memorial Hospital

  • Nursing Facility/Intermediate Care Facility
  • Waimea, HI
National Provider Identifier
1376601658
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
39-N Issued in HI
Legal business name
KAUAI VETERANS MEMORIAL HOSPITAL
Practice address
4643 Waimea Canyon Drive
Waimea, HI 96796-0337
Phone
(808) 338-9431
Fax
(808) 338-9420
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Ms. Rachelle MD Lorenzo
Title
Cfo
Phone
(808) 338-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 39-N HI Primary

Addresses

Primary practice location

4643 Waimea Canyon Drive
Waimea, HI 96796-0337

Mailing address

PO Box 337
Waimea, HI 96796-0337
Phone (808) 338-9431

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512002183 HI Part A Provider - Skilled Nursing Facility 7911805114 Practice locations: Waimea, HI

Skilled nursing facility certification: CCN 125021

Legal name
KAUAI VETERANS MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 11, 1973
Last certification
Sep 10, 2024
Beds
20
Ownership / control type
State
Multi-facility organization
Hawaii Health Systems Corporation
Organization structure
OtherNon-profit
Incorporated
Jul 1, 1996 in HI
Enrollment address
4643 Waimea Canyon Dr
Waimea, HI 96796
Nursing home name
KAUAI VETERANS MEMORIAL HOSPITAL
Affiliated entity
HAWAII HEALTH SYSTEMS CORPORATION

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kauai Veterans Memorial HospitalCCN 125021
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Apr 11, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
2020.0 residents per day on average
Chain
Hawaii Health Systems Corporation7 facilities in the chain
Special focus status
SFF Candidate
Penalties (3 years)
1Fines totaling $34,588

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Kauai Veterans Mem Hosp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kurt S Akamine Individual Corporate DirectorBoard Member Nov 1, 2012
Lance K Segawa Individual Corporate OfficerRegional Chief Executive Officer Apr 1, 2018 100%
W-2 Managing EmployeeRegional Chief Executive Officer Apr 1, 2018 100%
Operational/Managerial ControlRegional Chief Executive Officer Apr 1, 2018 100%
Laurel K S Loo Individual Corporate DirectorBoard Member Apr 1, 2016
Kauai Veterans Memorial Hospital Organization, Waimea, HI Medical provider/supplier 5% Or Greater Direct Ownership Interest Jul 1, 1996 80%
Hawaii Health Systems Corporation Organization, Honolulu, HI Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 1996 20%
Stephanie N Iona Individual Corporate DirectorBoard Member Nov 1, 2012
Christine M Asato Individual Corporate OfficerRegional Chief Financial Officer Apr 1, 2018 50%
W-2 Managing EmployeeRegional Chief Financial Officer Apr 1, 2018 50%
Operational/Managerial ControlRegional Chief Financial Officer Apr 1, 2018 50%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1376601658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960337",
            "telephone_number": "808-338-9431",
            "fax_number": "808-338-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON DRIVE",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960337",
            "telephone_number": "808-338-9431",
            "fax_number": "808-338-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI VETERANS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "MD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-338-9407",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "39-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimea, HI

Sources for this page

Verify at the official NPI Registry.