State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Administration

HOSPICE

HAWAII:

NUMBER	FACILITY	MEDICARE	INPATIENT	LOCATION
1	BRISTOL HOSPICE – HAWAII, LLC 500 Ala Moana Boulevard, suite 4-545 and 547 Honolulu, Hawaii 96813 Ph: (808) 536-8012 Fax: (808) 536-8013 Ann Lecompte, LSW President & CEO Provider No. 121508	X		OAHU
2	HOSPICE HAWAII, INC. 860 Iwilei Road Honolulu, Hawaii 96817 Ph: (808) 924-9255 Fax: (808) 922-9161 Kenneth L. Zeri, RN, MS President & CPO Provider No. 121501	X		OAHU
3	HOSPICE HAWAII-MOLOKA’I (EXTENSION UNIT) 280 Home Olu Place Kaunakakai, Hawaii 96748 Ph: (808) 553-4310 Fax: (808) 553-3183 Mailing Address: P.O. Box 408 Kaunakakai, Hawaii 96748 Cathy Karras, LPN Provider No. 121501	X		MOLOKAI
4	HOSPICE OF HILO 1011 Waianuenue Avenue Hilo, Hawaii 96720 Ph: (808) 969-1733 Fax: (808) 969-4863 Brenda Ho Provider No. 121503	X		HAWAII
5	HOSPICE OF KONA 75-5925 Walua Road, Suite 101 Kailua Kona, Hawaii 96740 Mailing Address: P.O. Box 4130 Kailua-Kona, Hawaii 96745-4130 Ph: (808) 324-7700 Fax: (808) 324-7722 Laura Varney Executive Director Provider No. 121505	X		HAWAII
6	HOSPICE MAUI 400 Mahalani Street Wailuku, Hawaii 96793 Ph: (808) 244-5555 Fax: (808) 244-5557 R. Gregory Lagoy, ND Provider No. 121504	X		MAUI
7	ISLANDS HOSPICE 560 North Nimitz Highway, Suite 204 Honolulu, Hawaii 96817 Ph: (808) 550-2552 Fax: (808) 550-2551 Trish L. Brooks Executive Director Provider No. 121509	X		OAHU
8	KAUAI HOSPICE 4457 Pahe’e Street Lihue, Hawaii 96766 Mailing Address: P.O. Box 3286 Lihue, Hawaii 96766 Ph: (808) 245-7277 Fax: (808) 245-5006 Lori J. Miller Executive Director Provider No. 121507	X		KAUAI
9	NORTH HAWAII HOSPICE, INC. 65-1328 Kawaihae Road Kamuela, Hawaii 96743 Ph: (808) 885-7547 Fax: (808) 885-5592 Katherine Werner Ciano, MHA, BSN Executive Director Provider No. 121506	X		HAWAII
10	ST. FRANCIS HOSPICE-WEST (EXTENSION UNIT) 91-2127 Fort Weaver Road Ewa Beach, Hawaii 96706 Ph: (808) 678-7549 Fax: (808) 678-7897 David Kowalski Administrator Provider No. 121500	X	X	OAHU
11	ST. FRANCIS HOSPICE 24 Puiwa Road Honolulu, Hawaii 96817 Ph: (808) 595-7566 Fax: (808) 595-6996 David Kowalski Administrator Provider No. 121500	X	X	OAHU

OHCA/MEDICARE January 8, 2013 lk