NPIMap

Organization Active NPI

Hale Makua Health Services

  • Skilled Nursing Facility
  • Kahului, HI
National Provider Identifier
1982604807
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
23-N Issued in HI
Legal business name
HALE MAKUA HEALTH SERVICES
Practice address
472 Kaulana St
Kahului, HI 96732-2050
Phone
(808) 877-2761
Fax
(808) 871-9262
NPI assigned
Jul 21, 2005
Last updated
May 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Authorized official

Name
Wesley Lo
Title
Chief Executive Officer
Phone
(808) 871-9217

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X
Skilled Nursing Facility 314000000X 23-N HI Primary

Addresses

Primary practice location

472 Kaulana St
Kahului, HI 96732-2050

Mailing address

472 Kaulana St
Kahului, HI 96732-2050
Phone (808) 877-2761

Other identifiers 4

IdentifierTypeStateIssuer
084347-01MedicaidHI
00J0043636OtherHIHMSA (REHAB)
0000043638OtherHIHMSA (NON-REHAB) & PART B
000024018-4OtherHIHMSA PHYSICIAN SERVICES

Other names 1

  • HALE MAKUA - KAHULUI Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105002983 HI Part A Provider - Skilled Nursing Facility 3779536537 Practice locations: Kahului, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982604807. Details of each certification follow.

Skilled nursing facility certification: CCN 125007

Legal name
HALE MAKUA HEALTH SERVICES
Doing business as
HALE MAKUA KAHULUI
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Oct 18, 2024
Beds
252
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
472 Kaulana St
Kahului, HI 96732-2050
Nursing home name
HALE MAKUA - KAHULUI

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hale Makua - KahuluiCCN 125007 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Other
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
252213.6 residents per day on average
Penalties (3 years)
3Fines totaling $170,249

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Josiah Nishita Individual Corporate DirectorDirector - Non-Voting Apr 1, 2020
Grant Chun Individual Corporate DirectorDirector Mar 1, 2017
Eileen Wachi Individual Corporate DirectorDirector Jun 1, 2017
Roy Sakamoto Individual Corporate DirectorDirector Mar 1, 2015
Rodrigo Santos Individual Operational/Managerial Control Oct 14, 2025
Adp of the SNF Oct 14, 2025
Tracy a Dorheim Individual Corporate DirectorDirector Apr 17, 2025
Ohana Pacific Management Company Inc Organization, Kaneohe, HI Corporation, For-profit Operational/Managerial Control Jan 1, 2020
Adp of the SNF Dec 2, 2025
County of Maui-Department of Finance Organization, Wailuku, HI Non-profit Adp of the SNF Jan 1, 1995
Richard S Kishaba Individual Corporate DirectorDirector Jan 1, 2020
Wesley Lo Individual Corporate OfficerCeo Dec 1, 2016
Corporate DirectorDirector Jan 1, 2019
Operational/Managerial Control Dec 1, 2016
Adp of the SNF Dec 1, 2016
Toby L Smith Individual Adp of the SNF Aug 1, 2024
Alexander McBarnet Individual Corporate DirectorSecretary/Director Mar 1, 2015
Edward Romson Individual Corporate DirectorChairman of the Board Jan 1, 2017
Andrew Lore Individual Operational/Managerial Control Feb 1, 2022
Adp of the SNF Feb 1, 2022
Pamela McClennon Individual Operational/Managerial Control Apr 1, 2025
Adp of the SNF Apr 1, 2025
Suanne Morikuni Individual Operational/Managerial ControlCfo Jan 1, 2020
Adp of the SNF Jan 1, 2020
Michael Munekiyo Individual Corporate Director Mar 1, 2015

Owners & managing parties with NPI records 2

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

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 10

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 5

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1982604807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 KAULANA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322050",
            "telephone_number": "808-877-2761",
            "fax_number": "808-871-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE MAKUA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-871-9217"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "23-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084347-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA (REHAB)",
            "identifier": "00J0043636",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA (NON-REHAB) & PART B",
            "identifier": "0000043638",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PHYSICIAN SERVICES",
            "identifier": "000024018-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALE MAKUA - KAHULUI",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HALE MAKUA - KAHULUI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.