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) 983-1844 Fax: (808) 949-4965 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	CARERESOURCE HAWAII 100 Pauahi Street, Suite 214 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
4	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
5	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
6	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
7	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
8	CASTLE HOME CARE 46-001 Kamehameha Highway, Suite 212 Kaneohe, Hawaii 96744 Ph: (808) 247-2828 Fax: (808) 236-1337 Linda Ford, RN, MBA, Ph.D Home Care Director Provider No. 127017	X	X	OAHU
9	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
10	HAWAII HOMECARE PROFESSIONALS, INC. 355 Hukilike Street, Suite 204-B Kahului, Hawaii 96732 Ph: (808) 873-7221 Fax: (808) 871-7366 Mailing Address: 377 Keahole Street, Suite E-106 Honolulu, Hawaii 96825 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO	X		OAHU
11	HAWAII HOMECARE PROFESSIONALS, INC. 377 Keahole Street, Suite E-106 Honolulu, Hawaii 96825 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO	x		MAUI
12	HAWAII HOMECARE PROFESSIONALS, INC. 2970 Kele Street, Suite 213 Lihue, Hawaii 96766 Ph: (808) 245-7211 Fax: (808) 245-7255 Mailing Address: 377 Keahole Street, Suite E-106 Honolulu, Hawaii 96825 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO Provider No. 127024	X	X	KAUAI
13	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
14	KAISER PERMANENTE HOME HEALTH AGENCY-MAUI 55 Maui Lani Parkway Wailuku, Hawaii 96793 Ph: (808) 243-6680 Fax: (808) 243-6689 Gary A. Wong Home Health Administrator Provider No. 127023	X	X	MAUI
15	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
16	KOHALA HOME HEALTH CARE OF NORTH HAWAII COMMUNITY HOSPITAL 67-1125 Mamalahoa Highway Kamuela, Hawaii 96743 Ph: (808) 881-4711 Fax: (808) 881-4720 Carmela Rice, RN, BSN, MPH Executive Leader Provider No. 127019	X	X	HAWAII
17	KOKUA HOME HEALTH AGENCY 210 Ward Avenue, Suite 118 Honolulu, Hawaii 96814 Ph: (808) 594-2326 Fax: (808) 592-1248 Roseanne McNeil Administrator Provider No. 127011	X	X	OAHU
18	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
19	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
20	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
21	ST. FRANCIS HOME CARE SERVICES-OAHU 91-2135 Fort Weaver Road, Suite 506 Ewa Beach, Hawaii 96706 Ph: (808) 534-0777 Fax: (808) 676-1300 Corinne A. Suzuka, RN, BSN, MA Executive Director Provider No. 127000	X	X	OAHU
22	WAHIAWA GENERAL HOSPITAL HOME HEALTH AGENCY 128 Lehua Street Wahiawa, Hawaii 96786 Ph: (808) 621-4438 Fax: (808) 621-4113 R. Don Olden Chief Executive Officer Provider No. 127026	X	X	OAHU
23	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
24	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

HOME HEALTH AGENCIES

PACIFIC AREA (AMERICAN SAMOA, GUAM, AND SAIPAN):

NUMBER	FACILITY	LICENSE	CERTIFICATION	LOCATION
1	FHP HOME HEALTH 548 South Marine Corps Drive Tamuning, Guam 96913 Ph: (671) 646-4933 Fax: (671) 649-8083 Mailing Address: P.O. Box 6578 Tamuning, Guam 96931 Donald H. Fetherman Administrator Provider No. 657005		X	GUAM
2	GUAM NURSING SERVICES 285 Farenholt Avenue, Oka Plaza, Suite C311 Tamuning, Guam 96913 Mailing Address: P. O. Box 8365 Tamuning, Guam 96931-8365 Ph: (671) 649-2815 Fax: (671) 646-0150 Elizabeth Q. Cauley CEO/Administrator Provider No. 657002		X	GUAM
3	GUAM VISITING NURSES 396 Chalan San Antonio, Suite 102 Tamuning, Guam 96913-5663 Ph: (671) 646-6877 Fax: (671) 647-1606 Gia Stella Ramos Executive Director Provider No.: 65-7006		X	GUAM
4	HEALTH SERVICES OF THE PACIFIC - HOME CARE 384 Governor Carlos G. Camacho Road, Suite 101 Tamuning, Guam 96913-3201 Mailing Address: 415 Chalan San Antonio PMB 101-352 Tamuning, Guam 96913 Ph. (671) 647-5355 Fax: (671) 647-5358 Albert Gurusamy Administrator Provider No. 657004		X	GUAM
5	MARIANAS VISITING NURSES Kim’s Building, Suite 102 Middle Road Gualo Rai, Saipan MP 96950 Mailing Address: P. O. Box 504816 Saipan, MP 96950-8903 Ph: (670) 323-6877 Fax: (670)323-8741 Wenona Rosas, RN, BSN Administrator Provide No. 667002		X	SAIPAN
6	MHS HOME CARE Saipan Plaza Building Suite 7, Garapan Saipan, MP 96950-8903 Mailing Address: P.O. Box 10003, PMB 1341 Saipan, MP 96950-8903 Ph: (670) 233-4647 Fax: (670) 233-4648 George J. Cruz President Provider No. 667001		X	SAIPAN

OHCA/MEDICARE February 3, 2010 ps