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. 2449 10^th Avenue Honolulu, Hawaii 96816 Mailing Address: 860 Iwilei Road Honolulu, Hawaii 96817 Ph: (808) 924-9255 Fax: (808) 922-9161 Kenneth Zeri, RN, MS President & CPO Provider No. 121501	X	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	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
8	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
9	ST. FRANCIS HOSPICE-WEST (EXTENSION UNIT) 91-2127 Fort Weaver Road Ewa Beach, Hawaii 96706 Ph: (808) 678-7549 Fax: (808) 678-7897 Joy Yadao Provider No. 121500	X	X	OAHU
10	ST. FRANCIS HOSPICE 24 Puiwa Road Honolulu, Hawaii 96817 Ph: (808) 595-7566 Fax: (808) 595-6996 Joy Yadao Provider No. 121500	X	X	OAHU

HOSPICE

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

NUMBER	FACILITY	MEDICARE	INPATIENT	LOCATION
1	FHP HOME HEALTH 548 South Marine Corps Drive Tamuning, Guam 96913-3539 Mailing Address: P.O. Box 6578 Tamuning, Guam 96931 Ph: (671) 646-4933 Fax: (671) 649-8083 Donald H. Fetherman Administrator Provider No. 651501	X		GUAM
2	HEALTH SERVICES OF THE PACIFIC - HOSPICE 384 Governor Carlos G. Camacho Road, Suite 101 Tamuning, Guam 96913 Ph: (671) 647-5355 Fax: (671) 647-5358 Albert Gurusamy Administrator Provider No. 651500	X		GUAM

OHCA/MEDICARE July 23, 2009 lk