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 SERVICES 1434 Punahou Street Honolulu, Hawaii 96822-4798 Ph. (808) 983-1844 Fax: (808) 949-4965 Frances Nishioka Director	X		OAHU
2	ATTENTION PLUS CARE 1580 Makaloa Street, Suite 1060 Honolulu, Hawaii 96814 Ph: (808) 739-2811 Fax: (808) 739-0169 Karl C. Samples, Ph.D. Vice President & Managing Director	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 74-556 Luhia Street, Suite C7 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 Cathy Meyer-Uyehara, RHAIA, NHA 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 James F. Kahler, RPT, MBA Director Provider No. 127003	X	X	MAUI
10	HAWAII HEALTHCARE PROFESSIONALS 4370 Kukui Grove Street, Suite 202 Lihue, Hawaii 96766 Ph: (808) 245-7211 Fax: (808) 245-7255 Mailing Address: 707 Richards Street, Suite 526 Honolulu, Hawaii 96813 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO Provider No. 127024	X	X	KAUAI
11	HAWAII HEALTHCARE PROFESSIONALS, INC. 707 Richards Street, Suite 526 Honolulu, Hawaii 96813 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO	X		OAHU
12	HAWAII HEALTHCARE PROFESSIONALS, INC. 355 Hukilike Street, Suite 204-B Kahului, Hawaii 96732 Ph: (808) 873-7221 Fax: (808) 871-7366 Mailing Address: 707 Richards Street, Suite 526 Honolulu, Hawaii 96813 Ph: (808) 531-8177 Fax: (808) 531-8348 Carolyn Frutoz-de Harne President/CEO	x		MAUI
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) 243-6681 Fax: (808) 243-6689 Jill Shinno, RN Manager Provider No. 127023	X	X	MAUI
15	KAISER HOME HEALTH AGENCY-OAHU 2828 Pa’a Street, #2048 Honolulu, Hawaii 96819 Ph: (808) 432-4829 Fax: (808) 432-4802 Mailing Address: Kaiser Permanente - Home Health Division c/o Moanalua Medical Center 3288 Moanalua Road Honolulu, Hawaii 96819 Gary Wong Interim 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, BSRN, MPH Director 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 Cheryl A. Burnett Administrator Provider No. 127011	X	X	OAHU
18	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
19	ST. FRANCIS HOME CARE SERVICES-KAUAI 3224-B Elua Street 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 Dardanelle F. Kaauwai Home Care Director Provider No. 127300	X	X	KAUAI
20	ST. FRANCIS HOME CARE SERVICES-OAHU 2228 Liliha Street, Suite 106 Honolulu, Hawaii 96817 Ph: (808) 547-6511 Fax: (808) 534-0798 Corinne A. Suzuka, RN, BSN, MA Executive Director Provider No. 127000	X	X	OAHU
21	WAHIAWA GENERAL HOSPITAL HOME HEALTH AGENCY 128 Lehua Street Wahiawa, Hawaii 96786 Ph: (808) 621-4438 Fax: (808) 621-4113 Lauralee Kawamata, RN, BSN Manager Provider No. 127026	X	X	OAHU
22	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
23	WILSON HOMECARE 1311 Kapiolani Boulevard, Suite #503 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 Dawn Marie Murray, RN Acting 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 Trinidad A. Lizama Administrator Provider No. 657002		X	GUAM
3	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 Ruth Gurusamy, RN, MN Administrator Provider No. 657004		X	GUAM
4	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 Gia Ramos, RN, BSN Executive Director Provide No. 667002		X	SAIPAN
5	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 June 10, 2008 lk