NPIMap

Organization Active NPI

Kona Medical Investors LLC

Doing business as Life Care Center of Kona

  • Skilled Nursing Facility
  • Kailua Kona, HI
National Provider Identifier
1649337379
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
60-N Issued in HI
Legal business name
KONA MEDICAL INVESTORS LLC
Doing business as
Life Care Center of Kona
Practice address
78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Phone
(808) 322-2790
Fax
(808) 324-1750
NPI assigned
Jan 2, 2007
Last updated
Jul 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Authorized official

Name
Cindy S Cross
Title
Assistant Secretary for Lcca, MGR
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 60-N HI Primary

Addresses

Primary practice location

78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other identifiers 1

IdentifierTypeStateIssuer
518269MedicaidHI

Other names 1

  • Life Care Center of Kona Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000720 HI Part A Provider - Skilled Nursing Facility 7517956329 Practice locations: Kailua Kona, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649337379. Details of each certification follow.

Skilled nursing facility certification: CCN 125052

Legal name
KONA MEDICAL INVESTORS, LLC
Doing business as
LIFE CARE CENTER OF KONA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 23, 2001
Last certification
Sep 25, 2024
Beds
94
Ownership / control type
Corporation
Multi-facility organization
Life Care Center of America
Organization structure
LLCProprietary
Enrollment address
78-6957 Kamehameha III Rd
Kailua Kona, HI 96740-2528
Nursing home name
LIFE CARE CENTER OF KONA
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of KonaCCN 125052 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 23, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9460.2 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
1Fines totaling $27,612

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Kona Medical Investors LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Direct Ownership InterestMember May 29, 2001 49%
Corporate OfficerChief Manager May 29, 2001
Meredith Eder Individual W-2 Managing EmployeeAdministrator Mar 1, 2020
Joan E Thurmond Individual Corporate OfficerAssistant Secretary May 29, 2001
Cindy S Cross Individual Corporate OfficerVice President/Assistant Secretary May 29, 2001
Richard Swanker Individual 5% Or Greater Direct Ownership InterestMember Jan 1, 2011 25%
Corporate OfficerChief Tax Officer Apr 1, 2011
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit Operational/Managerial Control Aug 28, 2001 100%
Lisa M Lay Individual 5% Or Greater Direct Ownership InterestMember Aug 1, 2020 25%
Corporate OfficerTreasurer Aug 1, 2020

Owners & managing parties with NPI records 25

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

View all 25

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783814400000",
    "number": "1649337379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6957 KAMEHAMEHA III RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402528",
            "telephone_number": "808-322-2790",
            "fax_number": "808-324-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA MEDICAL INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY FOR LCCA, MGR",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "60-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518269",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Kona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.