NPIMap

Organization Active NPI

Hilo Benioff Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Hilo, HI
National Provider Identifier
1609949775
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
OHCA# 44-N Issued in HI
Legal business name
HILO BENIOFF MEDICAL CENTER
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2020
Phone
(808) 974-6700
Fax
(808) 974-6723
NPI assigned
Nov 16, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Ronald Schurra
Title
Chief Executive Officer
Phone
(808) 974-4729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X OHCA# 44-N HI Primary

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2020

Mailing address

1190 Waianuenue Ave
Hilo, HI 96720-2020
Phone (808) 974-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000547 HI Part A Provider - Skilled Nursing Facility 1254422900 Practice locations: Hilo, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609949775. Details of each certification follow.

Skilled nursing facility certification: CCN 125002

Legal name
HILO BENIOFF MEDICAL CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Jan 1, 1967
Last certification
Jan 11, 2024
Beds
68
Ownership / control type
State
Multi-facility organization
Hawaii Health Systems Corp, East HI
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1996 in HI
Enrollment address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Nursing home name
HILO BENIOFF MEDICAL CENTER
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
Hilo Benioff Medical CenterCCN 125002 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5261.2 residents per day on average
Chain
Hawaii Health Systems Corporation7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hilo Benioff Medical Center3 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 17

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 Director Feb 24, 2018
Daniel H Belcher Individual Corporate DirectorBoard Member Jun 1, 2020
Randall Kurohara Individual Corporate Director Feb 1, 2021
Lara Gomez Individual Corporate Director Nov 1, 2022
Jay M Ignacio Individual Corporate Director Apr 1, 2019
Yvonne Wong Individual Corporate Director Oct 1, 2022
Daniel John Brinkman Individual Corporate Director Jul 2, 2007
Rae a Yamanaka Individual Corporate Director May 17, 2016
Chad Keone Farias Individual Corporate Director Mar 1, 2021
Joseph F Skruch Individual Corporate Director Mar 15, 2022
Deanna S Sako Individual Corporate Director Sep 1, 2018
Jennifer L Zelko-Schlueter Individual Corporate Director Jul 1, 2022
Joni Mu Waltjen Individual W-2 Managing EmployeeRegional Cfo Apr 23, 2001
Brenda S Ho Individual Corporate OfficerBoard Member Jul 1, 2016
Hawaii Health Systems Corporation Organization, Honolulu, HI Corporation Operational/Managerial Control Jul 1, 1996
Clarysse K Nunokawa Individual Corporate Director Jun 1, 2019
Jerry L Gray Individual Corporate Director Feb 1, 2017

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 7

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 5

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1609949775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-6700",
            "fax_number": "808-974-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-6700",
            "fax_number": "808-974-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO BENIOFF MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "SCHURRA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-974-4729"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "OHCA# 44-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.