Hilo Benioff Medical Center
Organization Active NPI Nursing Facility/Intermediate Care Facility · Hilo, HI
NPI 1609949775 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1609949775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- OHCA# 44-N (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
- Organization subpart
- No
Authorized official
- Name
- Ronald Schurra
- Title
- Chief Executive Officer
- Phone
- (808) 974-4729
Owners & managing parties with NPI records 2
-
Daniel H. Belcher, M.D.
-
Stephen Michael Smith, M.D.
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Facilities with the same owner 34
Practitioners 135
-
Daniel H. Belcher, M.D.
-
Lynda M. Dolan, M.D.
-
Craig Yoshihiro Shikuma, M.D.
-
Noemi Arzaga, DNP, FNP-BC
-
Clayton V. Chan, MD
-
Janine Doneza, MD
-
Jorge Enrique Guzman, M.D.
-
Daniel Robert Hudak, M.D.
-
Timothy C Jahraus, M.D.
-
Patrick Jewell, MD
-
Mouhamed Kannass, M.D.
-
John P. Kristofich, M.D.
-
Eric Lau, MD
-
Kerry A. Lau, PA
-
Kelly Leialoha Luscomb, N.P.
Affiliated clinicians 5
-
Daniel H. Belcher, M.D.
-
Lynda M. Dolan, M.D.
-
Shelley Kirkham, MD
-
Charles Minoru Okamura, M.D.
-
Craig Yoshihiro Shikuma, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Hilo Benioff Medical Center
- 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
- Active
- Certified beds
- 52 · 61.2 residents per day on average
- Chain
- Hawaii Health Systems Corporation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
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
- Corporation · Non-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
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen M Smith |
Corporate Director | Feb 24, 2018 | |
| Daniel H Belcher |
Corporate Director |
Jun 1, 2020 | |
| Randall Kurohara |
Corporate Director | Feb 1, 2021 | |
| Lara Gomez |
Corporate Director | Nov 1, 2022 | |
| Jay M Ignacio |
Corporate Director | Apr 1, 2019 | |
| Yvonne Wong |
Corporate Director | Oct 1, 2022 | |
| Daniel John Brinkman |
Corporate Director | Jul 2, 2007 | |
| Rae a Yamanaka |
Corporate Director | May 17, 2016 | |
| Chad Keone Farias |
Corporate Director | Mar 1, 2021 | |
| Joseph F Skruch |
Corporate Director | Mar 15, 2022 | |
| Deanna S Sako |
Corporate Director | Sep 1, 2018 | |
| Jennifer L Zelko-Schlueter |
Corporate Director | Jul 1, 2022 | |
| Joni Mu Waltjen |
W-2 Managing Employee |
Apr 23, 2001 | |
| Brenda S Ho |
Corporate Officer |
Jul 1, 2016 | |
| Hawaii Health Systems Corporation |
Operational/Managerial Control | Jul 1, 1996 | |
| Clarysse K Nunokawa |
Corporate Director | Jun 1, 2019 | |
| Jerry L Gray |
Corporate Director | Feb 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071023000547 | HI | Part a Provider - Skilled Nursing Facility | 1254422900 | Practice locations: Hilo, HI |
National Provider Directory
- Tax ID family
- Hilo Benioff Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | OHCA# 44-N | HI | Yes |
Addresses
Primary practice location
1190 Waianuenue Ave
Hilo, HI 96720-2020
Mailing address
1190 Waianuenue Ave
Hilo, HI 96720-2020
Phone (808) 974-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251745 | Other | HI | ALOHACARE |
| T005037 | Other | HI | HMSAQUEST ICF WL |
| N005032 | Other | HI | HMSAQUEST ANC |
| E005032 | Other | HI | HMSAQUEST SNF |
| 251745 | Medicaid | HI | |
| A005031 | Other | HI | HMSAQUEST SNF WL |
| D005035 | Other | HI | HMSAQUEST ICF |
| P005038 | Other | HI | HMSAQUEST ICF WL |
| U005035 | Other | HI | HMSAQUEST ICF ANC |
| E005032 | Other | HI | HMSA SNF |
Other providers in Hilo, HI
- Mario Hill
- Hilo Academic Physicians Inc
- Hilo Back and Neck Pain Center
- Hilo Bay Bodywork
- Hilo Benioff Medical Center
- Hilo Benioff Medical Center
- Hilo Benioff Medical Center
- Hilo Early Intervention Program
- Hilo Family Health Clinic, Inc.
- Hilo Gas Inc
All providers in Hilo, HI · Nursing Facility/Intermediate Care Facility in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.