Active NPI
Kahua Home Health Services, Inc.
- Home Health Agency
- Honolulu, HI
National Provider Identifier
1821665357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KAHUA HOME HEALTH SERVICES, INC.
- Practice address
- 1150 S King St Ste 404
Honolulu, HI 96814-1951 - Phone
- (808) 600-5500
- Fax
- (808) 207-0282
- NPI assigned
- Jun 3, 2021
- Last updated
- Mar 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kara Gomes, RN
- Title
- Administrator
- Phone
- (808) 600-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1150 S King St Ste 404
Honolulu, HI 96814-1951
Mailing address
1150 S King St Ste 404
Honolulu, HI 96814-1951
Phone (808) 600-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@kahuahomehealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230706004139 | HI | Part A Provider - Home Health Agency | 3870952914 | Practice locations: Honolulu, HI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1821665357. Details of each certification follow.
Home health agency certification: CCN 127315
- Legal name
- KAHUA HOME HEALTH SERVICES, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 14, 2024
- Last certification
- Feb 14, 2024
- Organization structure
- Corporation
- Incorporated
- Mar 31, 2021 in HI
- Enrollment address
- 1150 S King St
Ste 404
Honolulu, HI 96814-1951
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Kahua Home Health Services, Inc.
- Overall star rating
- Ownership
- -
- Certified
- Feb 14, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1150 S King St
Ste 404
Honolulu, HI 96814
Phone (808) 597-8109
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kara S Gomez | 5% Or Greater Direct Ownership Interest | Mar 31, 2021 | 35% |
| Corporate Officer | Mar 31, 2021 | 35% | |
| Corporate Director | Mar 31, 2021 | 35% | |
| W-2 Managing Employee | Mar 31, 2021 | 35% | |
| Operational/Managerial Control | Mar 31, 2021 | 35% | |
| Malia Kamauu | 5% Or Greater Direct Ownership Interest | Mar 31, 2021 | 35% |
| Corporate Officer | Mar 31, 2021 | 35% | |
| Corporate Director | Mar 31, 2021 | 35% | |
| W-2 Managing Employee | Mar 31, 2021 | 35% | |
| Operational/Managerial Control | Mar 31, 2021 | 35% | |
| Anthony Holton | 5% Or Greater Direct Ownership Interest | Mar 31, 2021 | 30% |
| Corporate Officer | Mar 31, 2021 | 30% | |
| Corporate Director | Mar 31, 2021 | 30% | |
| Operational/Managerial Control | Mar 31, 2021 | 30% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1508823790
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741651200000",
"number": "1821665357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S KING ST STE 404",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141951",
"telephone_number": "808-600-5500",
"fax_number": "808-207-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 S KING ST STE 404",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141951",
"telephone_number": "808-600-5500",
"fax_number": "808-207-0282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAHUA HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-03",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A",
"authorized_official_last_name": "GOMES",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "808-600-5500",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "contact@kahuahomehealth.com",
"affiliation": "N",
"endpointDescription": "Contact email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1150 S King St Ste 404",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968141951",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.