Honokaa Hospital & Skilled Nursing
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Honokaa, HI
NPI 1629154604 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1629154604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- OHCA# 5-H (HI)
- Legal business name
- HONOKAA HOSPITAL & SKILLED NURSING
- Practice address
- 45-547 Plumeria St
Honokaa, HI 96727-6902 - Phone
- (808) 775-7211
- Fax
- (808) 775-9977
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Kerry Pitcher
- Title
- Hospital Administrator
- Phone
- (808) 932-3588
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 2
Corporate family (same tax ID) 2
Related certifications (CCN) 2
Facilities with the same owner 34
Practitioners 6
-
Frank Dolim Lemes, M.D.
-
Jonathan Dworkin, M.D.
-
Daniel Silverman, MD
Affiliated clinicians 4
-
Frank Dolim Lemes, M.D.
-
Brenden M Burkholder, D.O
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Hospital certification: CCN 12Z307
- Legal name
- HONOKAA HOSPITAL & SKILLED NURSING
- Organization structure
- Other · Non-profit
- Incorporated
- Jul 1, 1994 in HI
- Enrollment address
- 45-547 Plumeria St
Honokaa, HI 96727-6902
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen M Smith |
Corporate Officer | Feb 24, 2018 | |
| Corporate Director | Feb 24, 2018 | ||
| Daniel H Belcher |
Corporate Officer | Jun 1, 2020 | |
| Corporate Director |
Jun 1, 2020 | ||
| Randall Kurohara |
Corporate Officer | Feb 1, 2021 | |
| Corporate Director |
Feb 1, 2021 | ||
| Lara Gomez |
Corporate Director | Nov 1, 2022 | |
| Jay M Ignacio |
Corporate Officer | Apr 1, 2019 | |
| Corporate Director | Apr 1, 2019 | ||
| Yvonne Wong |
Corporate Director | Oct 1, 2022 | |
| Daniel John Brinkman |
Corporate Officer | Jun 22, 2015 | |
| W-2 Managing Employee |
Jun 22, 2015 | ||
| Rae a Yamanaka |
Corporate Officer | May 17, 2016 | |
| Corporate Director | May 17, 2016 | ||
| Chad Keone Farias |
Corporate Officer | Mar 1, 2021 | |
| Corporate Director | Mar 1, 2021 | ||
| Joseph F Skruch |
Corporate Director | Mar 15, 2022 | |
| Deanna S Sako |
Corporate Officer | Sep 1, 2018 | |
| Corporate Director | Sep 1, 2018 | ||
| Jennifer L Zelko-Schlueter |
Corporate Director | Jul 1, 2022 | |
| Joni Mu Waltjen |
Corporate Officer | Apr 23, 2001 | |
| W-2 Managing Employee |
Apr 23, 2001 | ||
| Brenda S Ho |
Corporate Officer | Jul 1, 2016 | |
| Corporate Director |
Jul 1, 2016 | ||
| Hawaii Health Systems Corporation |
Operational/Managerial Control | Jul 1, 1996 | |
| Denise a Mackey |
Corporate Officer | Feb 2, 2004 | |
| W-2 Managing Employee |
Feb 2, 2004 | ||
| Clarysse K Nunokawa |
Corporate Officer | Jun 1, 2019 | |
| Corporate Director | Jun 1, 2019 | ||
| Jerry L Gray |
Corporate Officer | Feb 1, 2017 | |
| Corporate Director | Feb 1, 2017 | ||
| Linda Rosen |
Corporate Officer | Dec 16, 2014 | |
| Operational/Managerial Control |
Dec 16, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140325002146 | HI | Part a Provider - Critical Access Hospital | 7810926029 | Practice locations: Honokaa, HI |
National Provider Directory
- Tax ID family
- Honokaa Hospital Skilled Nursing
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | OHCA# 5-H | HI | Yes |
Addresses
Primary practice location
45-547 Plumeria St
Honokaa, HI 96727-6902
Mailing address
45-547 Plumeria St
Honokaa, HI 96727-6902
Phone (808) 775-7211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578263 | Medicaid | HI | |
| A0001568 | Other | HI | HMSA/HMSAQUEST/65C ACUTE |
| H0001563 | Other | HI | HMSA/HMSAQUEST OUTPATIENT |
Other providers in Honokaa, HI
- Marcel Joseph Hernandez
- Ilona Laszlo Higgins
- Timothy Carroll Holschuh
- Honokaa Hospital & Skilled Nursing
- Honokaa Hospital & Skilled Nursing
- Honokaa Hospital & Skilled Nursing
- Heather Hook
- Elodie Schaffer Imonen
- Integrated Psychological Services, Hawaii
- Integrated Psychological Services, Hawaii
All providers in Honokaa, HI · Medicare Defined Swing Bed Hospital Unit in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.