Active NPI
Island Paradise Investments, LP
- Skilled Nursing Facility
- Honolulu, HI
National Provider Identifier
1447623939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ISLAND PARADISE INVESTMENTS, LP
- Practice address
- 1723 Kalakaua Avenue
Honolulu, HI 96826 - Phone
- (808) 518-2273
- NPI assigned
- Nov 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Faye Lincoln
- Title
- SVP, Government Relations
- Phone
- (801) 325-0153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | HI | Primary |
Addresses
Primary practice location
1723 Kalakaua Avenue
Honolulu, HI 96826
Mailing address
1723 Kalakaua Avenue
Honolulu, HI 96826
Phone (808) 518-2273
Other names 1
- Kalakaua Gardens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160225002189 | HI | Part A Provider - Skilled Nursing Facility | 0143524686 | Practice locations: Honolulu, HI |
Skilled nursing facility certification: CCN 125066
- Legal name
- ISLAND PARADISE INVESTMENTS LP
- Doing business as
- KALAKAUA GARDENS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 27, 2017
- Last certification
- Jan 17, 2025
- Beds
- 49
- Ownership / control type
- Partnership
- Organization structure
- Other
- Incorporated
- Aug 23, 2006 in HI
- Enrollment address
- 1723 Kalakaua Ave
Honolulu, HI 96826-3703 - Nursing home name
- KALAKAUA GARDENS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Kalakaua Gardens
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jun 27, 2017
- Medicare certification status
- Active
- Certified beds
- 49
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2106175 | Kalakaua Gardens | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Hua Dai | 5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 8.65% |
| P E and M LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2006 | 29.47% |
| HPL Development LLC | Operational/Managerial Control | Aug 15, 2006 | |
| 1723 Kalakaua LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2006 | 43.05% |
| Colleen Kojima | W-2 Managing Employee | Sep 16, 2019 | |
| American Savings Bank FSB | 5% Or Greater Security Interest | Aug 4, 2014 | 7.9% |
| Tony K & Rebecca C Yung 1996 Fam Irrv TR | 5% Or Greater Indirect Ownership Interest | Feb 8, 2022 | 3.62% |
| Paul Xiao Bo Yu | General Partnership Interest | Sep 1, 2009 | 2.17% |
| Corporate Officer | Sep 1, 2009 | 2.17% | |
| Corporate Director | Sep 1, 2009 | 2.17% | |
| Ryuchi Masuda | Operational/Managerial Control | Feb 1, 2016 | |
| CHI Wai Cheung | 5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 8.65% |
| Louis Leong | General Partnership Interest | Sep 1, 2009 | 0.46% |
| Corporate Officer | Sep 1, 2009 | 0.46% | |
| Corporate Director | Sep 1, 2009 | 0.46% | |
| John T S Hung and Siew Yoong Hung Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2006 | 6.43% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1446681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449705600000",
"number": "1447623939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 KALAKAUA AVENUE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96826",
"telephone_number": "808-518-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 KALAKAUA AVENUE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96826",
"telephone_number": "808-518-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND PARADISE INVESTMENTS, LP",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-05",
"last_updated": "2015-12-10",
"status": "A",
"authorized_official_last_name": "LINCOLN",
"authorized_official_first_name": "FAYE",
"authorized_official_title_or_position": "SVP, GOVERNMENT RELATIONS",
"authorized_official_telephone_number": "801-325-0153",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kalakaua Gardens",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.