NPIMap

Organization Active NPI

Hale Nani Rehab & Nursing Center LLC

  • Skilled Nursing Facility
  • Honolulu, HI
National Provider Identifier
1821708397
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HALE NANI REHAB & NURSING CENTER LLC
Practice address
1677 Pensacola St
Honolulu, HI 96822-2676
Phone
(808) 537-3371
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Donald J. Knox
Title
Ceo
Phone
(740) 359-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1677 Pensacola St
Honolulu, HI 96822-2676

Mailing address

10401 Linn Station Rd Ste 300
Louisville, KY 40223-3825
Phone (270) 336-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515000463 HI Part A Provider - Skilled Nursing Facility 0042676272 Practice locations: Honolulu, HI

Skilled nursing facility certification: CCN 125011

Legal name
HALE NANI REHAB & NURSING CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1974
Last certification
May 15, 2025
Beds
288
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 8, 2022 in HI
Enrollment address
1677 Pensacola St
Honolulu, HI 96822-2676
Nursing home name
HALE NANI REHABILITATION AND NURSING CENTER
Affiliated entity
VOLARE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hale Nani Rehabilitation and Nursing CenterCCN 125011
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
288268.0 residents per day on average
Chain
Volare Health16 facilities in the chain
Special focus status
SFF
Penalties (3 years)
1Fines totaling $27,885

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
12D0646276Hale Nani Rehab & Nursing Center LLC1677 Pensacola Street, Honolulu, HI 96822Certificate of waiverJul 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 25

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

NameRoleSinceShare
Pac 12 Opco Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Organization, Louisville, KY For-profit, Owned by another organization or individual Indirect Ownership Interest Mar 1, 2023 3.42%
Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 61.67%
Adp of the SNF Mar 1, 2023
Brian Smith Individual Corporate OfficerChief Financial Officer Mar 27, 2023 100%
Adp of the SNF Mar 27, 2023
Pac 12 Pinnacle Holdco LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 69.17%
Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Oct 28, 2024
Individual Adp of the SNF Feb 24, 2025
Organization, Hackensack, NJ For-profit Adp of the SNF Apr 11, 2025
Hale Nani Propco LLC Organization, Louisville, KY Created for acquisition, For-profit, Owned by another organization or individual 5% Or Greater Mortgage Interest Mar 1, 2023 100%
Adp of the SNF Mar 1, 2023
Knox Healthcare Pac 12 Holdings LLC Organization, Louisville, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Individual Adp of the SNF Mar 1, 2023
Rebecca Young Individual Operational/Managerial Control Jul 8, 2024
Adp of the SNF Jul 8, 2024
Patricia a Blanchette Individual Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Chaim Hagar Individual 5% Or Greater Indirect Ownership InterestMember Mar 1, 2023 30.83%
Adp of the SNF Mar 1, 2023
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Volare Health LLC Organization, Louisville, KY Management services company Operational/Managerial Control Mar 1, 2023
Adp of the SNF Aug 19, 2025
Individual Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Alexander Hagler Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 24%
Donald Knox Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 7.5%
Corporate OfficerChief Executive Officer Mar 1, 2023 100%
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023
Organization, Louisville, KY For-profit Adp of the SNF Mar 1, 2023
Individual Adp of the SNF Mar 18, 2024
Organization, Toledo, OH For-profit Adp of the SNF Mar 1, 2023
Eliezer Schwartz Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 34.25%
Operational/Managerial Control Mar 1, 2023
Adp of the SNF Mar 1, 2023

Owners & managing parties with NPI records 1

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

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

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": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1821708397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233825",
            "telephone_number": "270-336-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 PENSACOLA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222676",
            "telephone_number": "808-537-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE NANI REHAB & NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-359-5401"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.