NPIMap

Organization Active NPI

Kokua Healthcare

  • In Home Supportive Care Agency
  • Lihue, HI
National Provider Identifier
1619697281
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
KOKUA HEALTHCARE
Practice address
3-3204 Kuhio Hwy Ste 103
Lihue, HI 96766-1135
Phone
(808) 466-1863
NPI assigned
Sep 1, 2022
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Jacob Russell Mauer, LNHA
Title
Ceo / Co-Founder
Phone
(808) 466-1863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

3-3204 Kuhio Hwy Ste 103
Lihue, HI 96766-1135

Mailing address

PO Box 326
Kalaheo, HI 96741-0326
Phone (808) 466-1863

National Provider Directory

National Provider Directory
Tax ID family
Kokua Healthcare LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1619697281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967410326",
            "telephone_number": "808-466-1863",
            "fax_number": "808-900-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3204 KUHIO HWY STE 103",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661135",
            "telephone_number": "808-466-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKUA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "MAUER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO / CO-FOUNDER",
        "authorized_official_telephone_number": "808-466-1863",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.