NPIMap

Organization Active NPI

Maui Health System a Kaiser Foundation Hospitals LLC

Doing business as Kula Hospital ICF for Individuals with Intellectual Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Kula, HI
National Provider Identifier
1881179216
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Doing business as
Kula Hospital ICF for Individuals with Intellectual Disabilities
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 878-1221
NPI assigned
Oct 2, 2018
Last updated
Sep 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Authorized official

Name
Joyce Tamori
Title
VP, Cfo
Phone
(808) 243-3095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

221 Mahalani St
Wailuku, HI 96793-2526

Other identifiers 1

IdentifierTypeStateIssuer
592289MedicaidHI

Other names 1

  • Kula Hospital ICF for Individuals with Intellectual Disabilities Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881179216. Details of each certification follow.

  • CCN 12G001 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 12G001

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KULA HOSPITAL
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Dec 9, 1986
Last certification
Oct 25, 2024
Beds
9
Ownership / control type
Private (non-profit)
Facility address
100 Keokea Place
Kula, HI 96790

National Provider Directory

National Provider Directory
Tax ID family
Maui Health System a Kaiser9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1881179216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "TAMORI",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "VP, CFO",
        "authorized_official_telephone_number": "808-243-3095"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "592289",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kula Hospital ICF for Individuals with Intellectual Disabilities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kula, HI

Sources for this page

Verify at the official NPI Registry.