Palolo Chinese Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

70-N Issued in HI

Legal business name

PALOLO CHINESE HOME

Practice address

2459 10TH Ave
Honolulu, HI 96816-3051

Phone

(808) 737-2555

Fax

(808) 735-1754

NPI assigned

Nov 5, 2007

Last updated

Aug 26, 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

Mrs. Darlene Nakayama

Title

Ceo

Phone

(808) 748-4901

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619157922. Details of each certification follow.

• CCN 125059 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 125059

Legal name

PALOLO CHINESE HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 13, 2008

Last certification

Mar 7, 2024

Beds

113

Ownership / control type

Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 18, 1941 in HI

Enrollment address

2459 10TH Ave
Honolulu, HI 96816-3051

Nursing home name

PALOLO CHINESE HOME

Listed as

Palolo Chinese HomeCCN 125059 · 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 13, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11396.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Palolo Chinese Home3 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.

• Palolo Chinese Home

  • Adult Day Care Clinic/Center
  • Honolulu, HI
  • NPI 1518677343
  NPD tax ID
• Palolo Chinese Home Wellness Program

  • In Home Supportive Care Agency
  • Honolulu, HI
  • NPI 1376156570
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Patricia Blanchette, M.D.

  • Specialist
  • Honolulu, HI
  • NPI 1356391866

  Corporate Director

  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.

• Robert Gries, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Honolulu, HI
  • NPI 1669425906
  NPD (past)
• Bruce K Tamura, M.D.

  • Specialist
  • Honolulu, HI
  • NPI 1164463436
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1619157922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163051",
            "telephone_number": "808-737-2555",
            "fax_number": "808-735-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163051",
            "telephone_number": "808-737-2555",
            "fax_number": "808-735-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOLO CHINESE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "NAKAYAMA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-748-4901",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "70-N",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "70-N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624503",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darleen Palmeira
• James E. Palmer, P.T.
• Shana Palmieri, LCSW
• Karlee Palms, LCSW
• Palolo Chinese Home
• Palolo Chinese Home Wellness Program
• Cloe Palomares Ferrando
• Rachel Lynn Palting, DO
• Pamela E Nunn, M.D., Inc.
• Pamela G. Miyashiro LLC

• Nursing Facility/Intermediate Care Facility in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Nursing Facility/Intermediate Care Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.