NPIMap

Organization Active NPI

Hilo Medical Investors LTD

Doing business as Life Care Center of Hilo

  • Skilled Nursing Facility
  • Hilo, HI
National Provider Identifier
1730132325
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HILO MEDICAL INVESTORS LTD
Doing business as
Life Care Center of Hilo
Practice address
944 W Kawailani St
Hilo, HI 96720-3218
Phone
(808) 959-9151
Fax
(808) 959-6202
NPI assigned
May 18, 2006
Last updated
Jul 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 Primary

Addresses

Primary practice location

944 W Kawailani St
Hilo, HI 96720-3218

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
086085MedicaidHI

Other names 1

  • Life Care Center of Hilo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000228 HI Part A Provider - Skilled Nursing Facility 4587634779 Practice locations: Hilo, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730132325. Details of each certification follow.

Skilled nursing facility certification: CCN 125040

Legal name
HILO MEDICAL INVESTORS LTD
Doing business as
LIFE CARE CENTER OF HILO
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1993
Last certification
Dec 1, 2023
Beds
252
Ownership / control type
Corporation
Multi-facility organization
Life Care Centers of America
Organization structure
PartnershipProprietary
Enrollment address
944W Kawailani St
Hilo, HI 96720-3218
Nursing home name
LIFE CARE CENTER OF HILO
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of HiloCCN 125040 · 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
Jun 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
252229.5 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain
Penalties (3 years)
1Fines totaling $8,492

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0683705Life Care Center of Hilo944 West Kawailani St, Hilo, HI 96720Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hale Anuenue Restorative Care Center2 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.

Interoperability endpoints

  • Direct secure messaging: hilo.life.care.center@hawaiihie.medicity.net

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Sak Jr LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 14, 1999 24.5%
General Partnership Interest Jun 14, 1999 24.5%
SBK LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 14, 1999 24.5%
General Partnership Interest Jun 14, 1999 24.5%
Lemapu Lemanua Individual W-2 Managing EmployeeAdministrator Sep 20, 2021 100%
Stiles a Kellett Individual 5% Or Greater Indirect Ownership Interest Jun 14, 1999 24.5%
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit Operational/Managerial Control Aug 1, 1994 100%

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 194

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

View all 194

Practitioners & affiliated clinicians

Practitioners 4

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 11

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1730132325",
    "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": "944 W KAWAILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203218",
            "telephone_number": "808-959-9151",
            "fax_number": "808-959-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO MEDICAL INVESTORS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-07-31",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086085",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Hilo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.