Craigside Retirement Residence

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

79-N Issued in HI

Legal business name

CRAIGSIDE RETIREMENT RESIDENCE

Doing business as

15 Craigside

Practice address

15 Craigside PL
Honolulu, HI 96817-1799

Phone

(808) 523-7000

Fax

(808) 533-5497

NPI assigned

Nov 4, 2011

Last updated

Feb 27, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ARCADIA COMMUNITY SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Emmet White

Title

Chief Executive Officer

Phone

(808) 983-1823

Specialties & licenses 1

Addresses

Other names 1

• 15 Craigside Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659658664. Details of each certification follow.

• CCN 125063 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 125063

Legal name

CRAIGSIDE RETIREMENT RESIDENCE

Doing business as

15 CRAIGSIDE

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Jul 6, 2012

Last certification

Jul 26, 2024

Beds

45

Ownership / control type

Nonprofit Corporation

Multi-facility organization

Arcadia Community Services

Organization structure

CorporationNon-profit

Incorporated

May 26, 2006 in HI

Enrollment address

15 Craigside PL
Honolulu, HI 96817-1799

Nursing home name

15 CRAIGSIDE

Listed as

15 CraigsideCCN 125063 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare

Ownership

Non profit - Corporation

Certified

Jul 6, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

4544.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 18

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 2

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

• Lauren I Okamoto, MD

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1023270394

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Queens University Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1891441382

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Arcadia Retirement Residence

  • Skilled Nursing Facility
  • Honolulu, HI
  • NPI 1053310771

  Arcadia Elder Services

  CMS ownership
• Hale Ola Kino by Arcadia

  • Skilled Nursing Facility
  • Honolulu, HI
  • NPI 1023739588

  Arcadia Community Services, Arcadia Elder Services

  CMS ownership

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Masahisa Amano, M.D.

  • Family Medicine Physician
  • Haleiwa, HI
  • NPI 1881905388

  Nursing home

  Care Compare affiliation
• Joey Yoshio Kohatsu, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1538365127

  Nursing home

  Care Compare affiliation
• Robin Izumi Matsukawa, M.D.

  • Internal Medicine Physician
  • Kaneohe, HI
  • NPI 1568668325

  Nursing home

  Care Compare affiliation
• Lauren I Okamoto, MD

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1023270394

  Nursing home

  Care Compare affiliation
• Clive I Otsuka, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1447256094

  Nursing home

  Care Compare affiliation
• Matthew Uechi

  • Geriatric Medicine (Internal Medicine) Physician
  • Honolulu, HI
  • NPI 1154616779

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1659658664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRAIGSIDE PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171799",
            "telephone_number": "808-523-7000",
            "fax_number": "808-440-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAIGSIDE PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171799",
            "telephone_number": "808-523-7000",
            "fax_number": "808-533-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIGSIDE RETIREMENT RESIDENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARCADIA COMMUNITY SERVICES",
        "enumeration_date": "2011-11-04",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "EMMET",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-983-1823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "79-N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "15 Craigside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craft Medical, P.a.
• Craig a. Yamamoto, D.D.S., Inc.
• Craig B Chun M D LLC
• Craig H. Robinson, PH.D., Inc.
• Mary Theresa Craig, MD
• Cathy Cramer-Bertram, APRN
• Bianca Crandall
• Ceressa Crawford
• Melissa Latrice Crawford
• Raequel Anjilique Crawford, LMT, LME

• 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 Feb 27, 2014; 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.