State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

HOME HEALTH AGENCIES

HAWAII:

NUMBER	FACILITY	LICENSE	CERTIFICATION	LOCATION
1	ARCADIA HOME HEALTH AND HOME CARE SERVICES 1660 South Beretania Street, Room 201 Honolulu, Hawaii 96826 Ph. (808) 440-3041 Fax: (808) 4404083 Philip Isaacs, CDM, CFPP Director of Home and Community Based Programs	X		OAHU
2	ATTENTION PLUS CARE 1580 Makaloa Street, Suite 1060 Honolulu, Hawaii 96814 Ph: (808) 739-2811 Fax: (808) 739-0169 Carol. Samples, Ph.D. President and CEO	X		OAHU
3	BAYADA HOME HEALTH CARE 75-1000 Henry Street, Suite 205 Kailua-Kona, Hawaii 96740 Ph: (808) 591-6050 Fax: (808) 591-6070
4	BAYADA HOME HEALTH CARE 308 Kamehameha Avenue, Suite 200 Hilo, Hawaii 96720 Ph: (808) 591-6050 Fax: (808) 591-6070
5	BAYADA HOME HEALTH CARE 2200 Main Street, Suite 650 Wailuku, Hawaii 96793 Ph: (808) 244-4700 Fax: (808) 244-7575 Gayle Burton, R.N., B.S.N., M.B.A. Director
6	BAYADA HOME HEALTH CARE 615 Piikoi Street, Suite 600 Honolulu, Hawaii 96814 Ph: (808) 591-6050 Fax: (808) 591-6070 Terry Bruesehoff, R.N. Administrator
7	CARERESOURCE HAWAII 69 Railroad Avenue Hilo, Hawaii 96720 Ph: (808) 935-2718 Fax: (808) 969-9454 Mailing Address: Emilie L. Smith Administrator 680 Iwilei Rd, Suite 660 Honolulu, Hawaii 96817 Janice Smith Manager	X		HAWAII
8	CARERESOURCE HAWAII 355 Hukilike Street, Suite 126 Kahului, Hawaii 96732 Ph. (808) 871-2115 Fax. (808) 877-4629 Mailing Address: Emilie L. Smith Administrator 680 Iwilei Rd, Suite 660 Honolulu, Hawaii 96817 Sue Pleiss Manager	X		MAUI
9	CARERESOURCE HAWAII 75-167 Kalani Street, Suite 206 Kailua-Kona, Hawaii 96740 Ph. (808) 326-7021 Fax. (808) 329-1091 Mailing Address: Emilie L. Smith Administrator 680 Iwilei Rd, Suite 660 Honolulu, Hawaii 96817 Shawn Cannon Manager	X		HAWAII
10	CARERESOURCE HAWAII 10 North Mohala Street, Suite 201 Kaunakakai, Hawaii 96748 Ph. (808) 553-9851 Fax: (808) 553-5245 Mailing Address: P.O. Box 928 Kauanakai, Hawaii 96748 Mailing Address: Emilie L. Smith Administrator 680 Iwilei Rd, Suite 660 Honolulu, Hawaii 96817 Lana Apuna Manager	X		MOLOKAI
11	CARERESOURCE HAWAII 680 Iwilei Road, Suite 660 Honolulu, Hawaii 96817 Ph: (808) 599-4999 Fax: (808) 531-2832 Emilie L. Smith Administrator Provider No. 127013	X	X	OAHU
12	CASTLE HOME CARE 46-001 Kamehameha Highway, Suite 212 Kaneohe, Hawaii 96744 Ph: (808) 247-2828 Fax: (808) 236-1337 Donna Awana, RN Interim Director Provider No. 127017	X	X	OAHU
13	HALE MAKUA HOME HEALTH CARE AGENCY 1520 East Main Street Wailuku, Hawaii 96793 Ph: (808) 244-3661 Fax: (808) 244-5470 Kathy Deknis Director Provider No. 127003	X	X	MAUI
14	HAUMEA HOME HEALTH AGENCY, LLC 5326 Kumole Street Kapaa, Hawaii 96746 Ph: (808) 631-8514 Fax: (808) 8236840 Mario A. Lott, LPN Chief Executive Officer	X		KAUAI
15	HAWAII PROFESSIONALS HOMECARE SERVICES INC. 2970 Kele Street, Suite 213 Lihue, Hawaii 96766 Ph: (808) 245-7211 Fax: (808) 245-7255 Carolyn Frutoz-de Harne President/CEO Provider No. 127024	X	X	KAUAI
16	HILO MEDICAL CENTER HOME CARE 1190 Waianuenue Avenue Hilo, Hawaii 96720 Ph: (808) 974-4720 Fax: (808) 974-4718 Marie Ruhland, RN Director Provider No. 127002	X	X	X
17	KAISER PERMANENTE HOME HEALTH AGENCY-MAUI 55 Maui Lani Parkway Wailuku, Hawaii 96793 Ph: (808) 243-6681 Fax: (808) 243-6689 Gary A. Wong Home Health Administrator Provider No. 127023	X	X	MAUI
18	KAISER HOME HEALTH AGENCY-OAHU 2828 Pa’a Street, Suite 2048 Honolulu, Hawaii 96819 Ph: (808) 432-5688 Fax: (808) 432-5682 Mailing Address: Kaiser Foundation Hospital Home Health Agency 2828 Pa’a Street, Suite 2048 Honolulu, Hawaii 96819 Gary Wong Home Health Manager Provider No. 127022	X	X	OAHU
19	KOHALA HOME HEALTH CARE OF NORTH HAWAII COMMUNITY HOSPITAL 67-1125 Mamalahoa Highway Kamuela, Hawaii 96743 Ph: (808) 881-4711 Fax: (808) 881-4720 Brendalynn J. Fong, CHCM Director Provider No. 127019	X	X	HAWAII
20	KOKUA NURSES, INC. 1210 Artesian Street, Suite 201 Honolulu, Hawaii 96826-1320 Ph: (808) 594-2326 Fax: (808) 592-1248 Cynthia Yoshida Administrator Provider No. 127011	X	X	OAHU
21	LOU’S QUALITY HOME HEALTH CARE SERVICES, LLC 95-212 Wailawa Street Mililani, Hawaii 96789 Ph: (808) 623-7109 Fax: (808) 623-7109 Lourdes V. Marcelo, RN Administrator	X		OAHU
22	PRIME CARE SERVICES OF HAWAII, INC. 3375 Koapaka Street, Suite I-570 Honolulu, Hawaii 96819 Ph: (808) 531-0050 Fax: (808) 531-1158 Elizabeth D. Hoban, RN, M.A.O.M. Administrator/CEO Provider No. 127025	X	X	OAHU
23	ST. FRANCIS HOME CARE SERVICES-KAUAI 4473 Pahe’e Street, Suite N Lihue, Hawaii 96766 Ph: (808) 245-6430 Fax: (808) 246-8620 Mailing Address: Corinne A. Suzuka Executive Director 2228 Liliha Street, Suite 106 Honolulu, Hawaii 96817 Maile Ballesteros Interim Manager Provider No. 127300	X	X	KAUAI
24	ST. FRANCIS HOME CARE SERVICES-OAHU 2226 Liliha Street, Suite 505 Honolulu, Hawaii 96817 Ph: (808) 534-0777 Fax: (808) 676-1300 Corinne A. Suzuka, RN, BSN, MA Executive Director Provider No. 127000	X	X	OAHU
25	WAHIAWA GENERAL HOSPITAL HOME HEALTH AGENCY 1008 California Avenue, Unit A101 Wahiawa, Hawaii 96786 Ph: (808) 621-4438 Fax: (808) 621-4113 Lauralee Kawamata, R.N. Manager Provider No. 127026	X	X	OAHU
26	WEST HAWAII HOME HEALTH SERVICES, INC. 82-5899 Old Government Road Captain Cook, Hawaii 96704 Mailing Address: P.O. Box 859 Captain Cook, Hawaii 96704 Ph: (808) 328-9883 Fax: (808) 328-8052 Kenneth T. Ono Administrator Provider No. 127027	X	X	HAWAII
27	WILSON HOMECARE 1221 Kapiolani Boulevard, Suite #940 Honolulu, Hawaii 96814 Ph: (808) 596-4486 Fax: (808) 596-4822 Mailing Address: P.O. Box 2058 Honolulu, Hawaii 96805 Shelley Wilson Administrator/CEO	X		OAHU

OHCA/MEDICARE May 7, 2012 lk