NPIMap

Organization Active NPI

Stay at Home Healthcare Services, LLC

  • Home Health Agency
  • Hilo, HI
National Provider Identifier
1447901657
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
STAY AT HOME HEALTHCARE SERVICES, LLC
Practice address
563 Kaumana Dr Ste U
Hilo, HI 96720-1812
Phone
(808) 900-7232
Fax
(808) 865-2444
NPI assigned
Jan 10, 2022
Organization subpart
Yes
Parent organization
STAY AT HOME HEALTHCARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Randall I Hata
Title
VP
Phone
(808) 791-4496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

563 Kaumana Dr Ste U
Hilo, HI 96720-1812

Mailing address

45-181 Waikalua Rd
Kaneohe, HI 96744-2765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000674 HI Part A Provider - Home Health Agency 9537305156 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hilo, HI; Lihue, HI

Home health agency certification: CCN 127311

Legal name
STAY AT HOME HEALTHCARE SERVICES, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 29, 2015
Last certification
Jul 19, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2011 in HI
Enrollment address
3-3367 Kuhio Hwy
Lihue, HI 96766-1034
HHA Branch

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health KauaiCCN 127311
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 29, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Stay at Home Healthcare Services LLC4 organizations share this tax ID, including this one
Part of
Stay at Home Healthcare Services LLC

Other organizations with this tax ID 3

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

Locations

563 Kaumana Dr
Ste U
Hilo, HI 96720
Phone (808) 900-7232

3-3367 Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-5121

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Ohana Pacific Management Company Inc Organization, Kaneohe, HI Corporation 5% Or Greater Direct Ownership Interest Apr 5, 2011 100%
Randall I Hata Individual Corporate OfficerVice President Apr 5, 2011
Richard S Kishaba Individual Corporate OfficerPresident Apr 5, 2011
Suanne Morikuni Individual W-2 Managing EmployeeCfo Jan 1, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1447901657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-181 WAIKALUA RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 KAUMANA DR STE U",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201812",
            "telephone_number": "808-900-7232",
            "fax_number": "808-865-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY AT HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STAY AT HOME HEALTHCARE SERVICES, LLC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "HATA",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "808-791-4496"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.