NPIMap

Organization Active NPI

Hawaii Health Systems Corporation

Doing business as Yukio Okutsu State Veteran's Home

  • Skilled Nursing Facility
  • Hilo, HI
National Provider Identifier
1477756245
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAWAII HEALTH SYSTEMS CORPORATION
Doing business as
Yukio Okutsu State Veteran's Home
Practice address
1180 Waianuenue Ave
Hilo, HI 96720-2020
Phone
(801) 325-0153
Fax
(801) 496-8844
NPI assigned
Jun 7, 2007
Last updated
May 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Authorized official

Name
Joni Mu Waltjen
Title
Cfo
Phone
(808) 932-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1180 Waianuenue Ave
Hilo, HI 96720-2020

Mailing address

1180 Waianuenue Ave
Hilo, HI 96720-2020
Phone (808) 961-1500

Other names 1

  • Yukio Okutsu State Veteran's Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070710001032 HI Part A Provider - Skilled Nursing Facility 4880794585 Practice locations: Hilo, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477756245. Details of each certification follow.

Skilled nursing facility certification: CCN 125058

Legal name
HAWAII HEALTH SYSTEMS CORPORATION
Doing business as
YUKIO OKUTSU STATE VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 10, 2008
Last certification
Nov 15, 2024
Beds
95
Ownership / control type
State
Multi-facility organization
Hawaii Health Systems Corporation
Organization structure
OtherNon-profit
Incorporated
in HI
Enrollment address
1180 Waianuenue Ave
Hilo, HI 96720-2020
Nursing home name
YUKIO OKUTSU STATE VETERANS HOME
Affiliated entity
HAWAII HEALTH SYSTEMS CORPORATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Yukio Okutsu State Veterans HomeCCN 125058 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Mar 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9567.1 residents per day on average
Chain
Hawaii Health Systems Corporation7 facilities in the chain
Penalties (3 years)
1Fines totaling $13,049

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Stephen M Smith Individual Corporate DirectorDirector Feb 24, 2018
Charles R Kirton Individual Contracted Managing Employee Oct 23, 2012
Daniel H Belcher Individual Corporate Officer Jun 1, 2020
Carol a Vancamp Individual Corporate DirectorDirector Oct 1, 2019
Randall Kurohara Individual Corporate Officer Feb 1, 2021
Edward Chu Individual Corporate OfficerSecretary/Treasurer Nov 16, 2010
Lara Gomez Individual Corporate Officer Nov 1, 2022
Jay M Ignacio Individual Corporate Director Apr 1, 2019
Yvonne Wong Individual Corporate Officer Oct 1, 2022
Hawaii Health Systems Corporation Organization, Hilo, HI Corporation 5% Or Greater Direct Ownership Interest Nov 21, 2007 100%
Daniel John Brinkman Individual Corporate OfficerCeo Jun 22, 2015
East Hawaii State Veterans Home Organization, Hilo, HI Management services company Operational/Managerial Control Jan 2, 2021
Chad Keone Farias Individual Corporate Officer Mar 1, 2021
Joseph F Skruch Individual Corporate OfficerOfficer/Chair May 22, 2019
Deanna S Sako Individual Corporate Director Sep 1, 2018
Jennifer L Zelko-Schlueter Individual Corporate Director Oct 4, 1977
Joni Mu Waltjen Individual Corporate OfficerCfo Apr 16, 2018
Hawaii Health Systems Corporation Organization, Honolulu, HI Corporation 5% Or Greater Direct Ownership Interest Nov 21, 2007 100%
David R Pettijohn Individual Operational/Managerial ControlAdministrator May 1, 2015
Alan B Hash Individual Contracted Managing EmployeeCeo Mar 1, 2014
Clarysse K Nunokawa Individual Corporate DirectorDirector Jun 1, 2019
Jerry L Gray Individual Corporate OfficerOfficer/Vice Chair May 22, 2019
Linda Rosen Individual Corporate OfficerPresident/Ceo Dec 16, 2014
Corporate DirectorPresident/Ceo Dec 16, 2014
Anne H Stuart Individual Contracted Managing EmployeeDirector Mar 1, 2014

Owners & managing parties with NPI records 2

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, and the practitioner matching its NPPES authorized official.

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779494400000",
    "number": "1477756245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-961-1500",
            "fax_number": "808-933-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "801-325-0153",
            "fax_number": "801-496-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII HEALTH SYSTEMS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A",
        "authorized_official_last_name": "WALTJEN",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "MU",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-932-3110"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yukio Okutsu State Veteran's Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yukio Okutsu State Veteran's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.