NPIMap

Organization Active NPI

Honokaa Hospital & Skilled Nursing

  • Medicare Defined Swing Bed Hospital Unit
  • Honokaa, HI
National Provider Identifier
1629154604
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
OHCA# 5-H Issued in 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
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Kerry Pitcher
Title
Hospital Administrator
Phone
(808) 932-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X OHCA# 5-H HI Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140325002146 HI Part A Provider - Critical Access Hospital 7810926029 Practice locations: Honokaa, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629154604. Details of each certification follow.

Hospital certification: CCN 12Z307

Legal name
HONOKAA HOSPITAL & SKILLED NURSING
Organization structure
OtherNon-profit
Incorporated
Jul 1, 1994 in HI
Enrollment address
45-547 Plumeria St
Honokaa, HI 96727-6902
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Honokaa Hospital Skilled Nursing3 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 19

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 Officer Feb 24, 2018
Corporate Director Feb 24, 2018
Daniel H Belcher Individual Corporate Officer Jun 1, 2020
Corporate DirectorBoard Member Jun 1, 2020
Randall Kurohara Individual Corporate Officer Feb 1, 2021
Corporate DirectorBoard Member Feb 1, 2021
Lara Gomez Individual Corporate Director Nov 1, 2022
Jay M Ignacio Individual Corporate Officer Apr 1, 2019
Corporate Director Apr 1, 2019
Yvonne Wong Individual Corporate Director Oct 1, 2022
Daniel John Brinkman Individual Corporate Officer Jun 22, 2015
W-2 Managing EmployeeRegional Ceo Jun 22, 2015
Rae a Yamanaka Individual Corporate Officer May 17, 2016
Corporate Director May 17, 2016
Chad Keone Farias Individual Corporate Officer Mar 1, 2021
Corporate Director Mar 1, 2021
Joseph F Skruch Individual Corporate Director Mar 15, 2022
Deanna S Sako Individual Corporate Officer Sep 1, 2018
Corporate Director Sep 1, 2018
Jennifer L Zelko-Schlueter Individual Corporate Director Jul 1, 2022
Joni Mu Waltjen Individual Corporate Officer Apr 23, 2001
W-2 Managing EmployeeRegional Cfo Apr 23, 2001
Brenda S Ho Individual Corporate Officer Jul 1, 2016
Corporate DirectorBoard Member Jul 1, 2016
Hawaii Health Systems Corporation Organization, Honolulu, HI Corporation Operational/Managerial Control Jul 1, 1996
Denise a Mackey Individual Corporate Officer Feb 2, 2004
W-2 Managing EmployeeHospital Administrator Feb 2, 2004
Clarysse K Nunokawa Individual Corporate Officer Jun 1, 2019
Corporate Director Jun 1, 2019
Jerry L Gray Individual Corporate Officer Feb 1, 2017
Corporate Director Feb 1, 2017
Linda Rosen Individual Corporate Officer Dec 16, 2014
Operational/Managerial ControlCorporate Ceo Dec 16, 2014

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 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.

Affiliated clinicians 4

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1629154604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-547 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7211",
            "fax_number": "808-775-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-547 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7211",
            "fax_number": "808-775-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOKAA HOSPITAL & SKILLED NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "PITCHER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "808-932-3588"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "HI",
            "license": "OHCA# 5-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

Verify at the official NPI Registry.