Kaiser Foundation Health Plan, Inc
Organization Active NPI Home Health Agency · Wailuku, HI
NPI 1962552091 · NPPES record last updated Dec 12, 2017
Key facts
- NPI
- 1962552091
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN, INC
- Practice address
- 80 Mahalani St
Wailuku, HI 96793-2531 - Phone
- (808) 243-6681
- Fax
- (808) 243-6689
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Daniel N. Shaw
- Title
- Chief Financial Officer
- Phone
- (808) 432-5272
Owners & managing parties with NPI records 2
-
Pamela D. Hope, MD
Owned or controlled facilities with NPI records 10
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 15
Member organizations 9
Facilities with the same owner 78
Practitioners 108
-
Chong Son An, APRN-BC
-
Karen Badiable, FNP-C
-
Argenita Balinbin, APRN-RX FNP-C
-
Brian James Barlag, CRNA
-
Melissa Lee Belanger, PSYD
-
Eric W Y Ching, CRNA
-
Kristen Chun, AU.D., CCC-A
-
Scott A. Dandurand, CRNA
-
Naomi Anne Davis, M.S. CCC SLP
-
Jessica Hammonds Deery, CRNA
-
Geraldine M. Doronio, CRNA
-
Jenny Quynh Eads, FNP
-
Lawrence Michael Eng, AUD
-
Kurt Fujitani, CRNA
-
Izumi Furukawa, AU.D
-
Heidi Kyoko Garcia, APRN
-
Richard Garcia Jr., PSY.D.
-
Reymund Alejo Guiwa, PHYSICAL THERAPIST
-
Mirie Hara, DNP, APRN-RX, FNP-BC
-
Lori K. Harrison, NP
Affiliated clinicians 1
-
Lisa K Sodetani, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Kaiser Permanente Home Health Agency Maui
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Non-Profit
- Certified
- Oct 11, 1993
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Home health agency certification: CCN 127023
- Legal name
- KAISER FOUNDATION HEALTH PLAN INC
- Doing business as
- KAISER PERMANENTE HOME HEALTH AGENCY MAU
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 11, 1993
- Last certification
- Mar 15, 2019
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 11, 1955 in CA
- Enrollment address
- 80 Mahalani St
FL 2
Wailuku, HI 96793-2531
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| David J Barger |
Corporate Director |
Nov 11, 2019 | |
| Margaret E Porfido |
Corporate Director |
Nov 1, 2011 | 100% |
| Jenny Ming |
Corporate Director |
Jul 6, 2021 | |
| Richard P Shannon |
Corporate Director |
Jul 1, 2014 | 100% |
| Regina M Benjamin |
Corporate Director |
Jun 1, 2015 | 100% |
| Michelle J Gaskill-Hames |
Corporate Officer |
Sep 18, 2023 | |
| Judith a Johansen |
Corporate Director |
Apr 1, 2006 | 100% |
| Pamela D Hope |
Contracted Managing Employee |
Nov 1, 2009 | 100% |
| Corporate Director | Nov 1, 2009 | ||
| Douglas a Lemieux |
W-2 Managing Employee |
Jul 8, 2018 | |
| David F Hoffmeister |
Corporate Director |
Nov 1, 2014 | 100% |
| Kaiser Foundation Hospitals |
Operational/Managerial Control | Jan 1, 1966 | |
| Arnold Eugene Washington |
Corporate Director |
Jan 4, 2016 | 100% |
| Ines Gaeta |
Operational/Managerial Control |
Apr 4, 2022 | |
| James Adams |
Corporate Officer |
Sep 19, 2022 | |
| W-2 Managing Employee |
Sep 19, 2022 | ||
| Jeffrey E Epstein |
Corporate Director |
Apr 1, 2013 | 100% |
| Ramon F Baez |
Corporate Director |
Jun 4, 2016 | 100% |
| Gregory a Adams |
Corporate Officer |
Nov 11, 2019 | |
| Corporate Director |
Nov 11, 2019 | ||
| Matthew T Ryan |
Corporate Director |
Jan 1, 2020 | |
| Leslie S Heisz |
Corporate Director |
Jan 1, 2015 | 100% |
All facility ownership & control disclosures 7
| Facility | Type | Role | Since |
|---|---|---|---|
| Kaiser Permanente Central Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2017 |
| Kaiser Permenante Washington Home Health |
Home health agency | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2017 |
| Kaiser Permanente Care at Home, Big Island Home Health |
Home health agency | Operational/Managerial Control | Nov 1, 2023 |
| Kpwa Home Health & Hospice |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Feb 1, 2017 |
| Kahuku Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Jan 1, 2017 |
| Lahaina Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Apr 1, 2017 |
| Kihei Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Apr 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090605000468 | HI | Part a Provider - Home Health Agency | 1850205360 | Practice locations: Wailuku, HI |
National Provider Directory
- Tax ID family
- Kaiser FDN HLTH Plan Phcy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
80 Mahalani St
Wailuku, HI 96793-2531
Mailing address
711 Kapiolani Blvd
Honolulu, HI 96813-5237
Other providers in Wailuku, HI
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan Inc
- Kaiser Foundation Health Plan, Inc.
- Kaiser Foundation Health Plan, Inc.
- Kaiser Foundation Health Plan, Inc.
- Kaiser Permanente
- Betsy Jo Kallenbach
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.