Nuuanu Hale, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NUUANU HALE, INC

Practice address

2900 Pali Hwy
Honolulu, HI 96817-1479

Phone

(808) 595-6311

Fax

(808) 595-6188

NPI assigned

Dec 8, 2020

Last updated

Dec 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edison K Miyawaki, MDNPI 1548227911

Title

President

Phone

(808) 595-6311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508462383. Details of each certification follow.

• CCN 125024 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 125024

Legal name

NUUANU HALE, INC

Doing business as

NUUANU HALE

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 16, 1975

Last certification

Feb 6, 2025

Beds

75

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 30, 2020 in HI

Enrollment address

2900 Pali Hwy
Honolulu, HI 96817-1479

Nursing home name

NUUANU HALE

Listed as

Nuuanu HaleCCN 125024 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 16, 1975

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7564.2 residents per day on average

Penalties (3 years)

1Fines totaling $27,310

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 2

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

• Arnold Kop, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1629178157

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Edison K Miyawaki, MD

  • Neurology Physician
  • Boston, MA
  • NPI 1548227911

  Corporate Director, Corporate Officer

  CMS ownership

Facilities with the same owner 1

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

• Family Health II, Inc.

  dba Liliha Healthcare Center

  • Skilled Nursing Facility
  • Honolulu, HI
  • NPI 1861488553

  New Family Health, Inc., Sallie Y. Miyawaki Trust

  CMS ownership

Practitioners 2

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.

• Edison K Miyawaki, MD

  • Neurology Physician
  • Boston, MA
  • NPI 1548227911
  NPD Authorized official
• Robert Gries, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Honolulu, HI
  • NPI 1669425906
  NPD (past)

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1508462383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PALI HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171479",
            "telephone_number": "808-595-6311",
            "fax_number": "808-595-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PALI HWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171479",
            "telephone_number": "808-595-6311",
            "fax_number": "808-595-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUUANU HALE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MIYAWAKI",
        "authorized_official_first_name": "EDISON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-595-6311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Skilled Nursing Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.

Verify at the official NPI Registry.