State of Hawaii Department of Health

Office of Health Care Assurance

Medicare Section

SKILLED NURSING/INTERMEDIATE CARE FACILITIES

HAWAII:

NUMBER	FACILITY	ADULT DAY HEALTH CENTER	**TYPE/NUMBER OF CERTIFIED BEDS	*TYPE/NUMBER OF LICENSED BEDS	LOCATION
1	ALOHA NURSING & REHAB CENTRE 45-545 Kamehameha Highway Kaneohe, Hawaii 96744 Ph: (808) 247-2220 Fax: (808) 235-3676 Charles P. Harris Administrator Provider No. 125038		141 SNF/NF	141 SNF/ICF	OAHU
2	ANN PEARL NURSING FACILITY 45-181 Waikalua Road Kaneohe, Hawaii 96744 Ph: (808) 247-8558 Fax: (808) 247-4115 Johhna Johnson Administrator Provider No. 125048	X	104 SNF/NF	104 SNF/ICF	OAHU
3	ARCADIA RETIREMENT RESIDENCE 1434 Punahou Street Honolulu, Hawaii 96822 Ph: (808) 941-0941 Fax: (808) 949-4965 Karen Thorp Administrator Provider No. 125014		11 SNF	72 SNF/ICF	OAHU
4	AVALON CARE CENTER - HONOLULU, LLC 1930 Kamehameha IV Road Honolulu, Hawaii 96819 Ph: (808) 847-4834 Fax: (808) 848-8020 Walter H. Long Administrator Provider No. 125020		108 SNF/NF	108 SNF/ICF	OAHU
5	CONVALESCENT CENTER OF HONOLULU 1900 Bachelot Street Honolulu, Hawaii 96817 Ph: (808) 531-5302 Fax: (808) 538-3219 C. Gerald Powers, Ph.D Administrator Provider No. 125019		182 SNF/NF	182 SNF/ICF	OAHU
6	CRAWFORD’S CONVALESCENT HOME 58-130 Kamehameha Highway Haleiwa, Hawaii 96712 Ph: (808) 638-8514 Fax: (808) 638-8516 Alice Kim Lew Administrator Provider No. 12E007		55 NF	55 ICF	OAHU
7	GARDEN ISLE HEALTHCARE 3-3420 Kuhio Highway #300 Lihue, Hawaii 96766 Ph: (808) 245-1802 Fax: (808) 245-6515 Kurt Akamine Administrator Provider No. 125004		110 SNF/NF	110 SNF/ICF	KAUAI
8	HALE ANUENUE RESTORATIVE CARE CENTER 1333 Waianuenue Avenue Hilo, Hawaii 96720 Ph: (808) 961-6644 Fax: (808) 961-6630 Ivan S. Yamamoto Executive Director Provider No. 125045		120 SNF/NF	120 SNF/ICF	HAWAII
9	HALE HO ALOHA 2670 Pacific Heights Road Honolulu, Hawaii 96813 Ph: (808) 524-1955 Fax:(808) 537-5418 Dennis Okimoto Administrator			85 SNF/ICF	OAHU
10	HALE HO’OLA HAMAKUA 45-547 Plumeria Street Honokaa, Hawaii 96727 Ph: (808) 775-7211 Fax: (808) 775-9977 Jeanne Abe Interim Administrator Provider No. 125032		46 SNF/NF	46 SNF/ICF	HAWAII
11	HALE KUPUNA HERITAGE HOME, LLC 4297 A Omao Road Lawai, Hawaii 96765 Mailing Address: P.O. Box 1287 Koloa, Hawaii 96756-1287 Ph: (808) 742-7591 Fax: (808) 742-6563 Alisa Racelo Acting Administrator Provider No. 12E030		84 NF	84 SNF/ICF	KAUAI
12	HALE MAKUA (Kahului) 472 Kaulana Street Kahului, Hawaii 96732 Ph: (808) 877-2761 Fax: (808) 871-9262 Tiffany Benton Administrator Provider No. 125007	X	254 SNF/NF	254 SNF/ICF	MAUI
13	HALE MAKUA (Wailuku) 1540 Lower Main Street Wailuku, Hawaii 96793 Ph: (808) 243-1722 Fax: (808) 243-1744 Saundra Gaskey Administrator Provider No. 125056		124 SNF/NF	124 SNF/ICF	MAUI
14	HALE MALAMALAMA 6163 Summer Street Honolulu, Hawaii 96821 Ph: (808) 396-0537 Fax: (808) 396-5128 Pauline Y.O. Fukumura Administrator Provider No. 125050		40 SNF/NF	40 SNF/ICF	OAHU
15	HALE NANI REHABILITATION AND NURSING CENTER 1677 Pensacola Street Honolulu, Hawaii 96822 Ph: (808) 537-3371 Fax: (808) 528-1613 John Megara Administrator Provider No. 125011		288 SNF/NF	288 SNF/ICF	OAHU
16	HALE OLA KINO 1314 Kalakaua Avenue Honolulu, Hawaii 96826 Ph: (808) 983-4400 Fax: (808) 983-4490 Jolene Kageyama Acting Administrator Provider No. 125047		26 SNF 6 SNF/NF	32 SNF/ICF	OAHU
17	HARRY AND JEANETTE WEINBERG CARE CENTER 45-090 Namoku Street Kaneohe, Hawaii 96744 Ph: (808) 247-1670 Fax: (808) 235-9661 Patricia Camero Administrator Provider No. 125033		44 SNF/NF	44 SNF/ICF	KAUAI
18	HAWAII MEDICAL CENTER EAST 2230 Liliha Street Honolulu, Hawaii 96817 Ph: (808) 547-6011 Fax: (808) 547-6616 Catherine Tanaka Administrator Provider No. 125025		52 SNF/NF	52 SNF	OAHU
19	HILO MEDICAL CENTER 1190 Waianuenue Avenue Hilo, Hawaii 96720 Ph: (808) 974-4700 Fax: (808) 947-6967 Ronald Schurra Chief Executive Officer Provider No. 125002		112 SNF/NF 22 SNF/DP	112 SNF/ICF 22 SNF	HAWAII
20	HI’OLANI CARE CENTER AT KAHALA NUI 4398 Malia Street Honolulu, Hawaii 96821 Ph: (808) 218-7000 Fax: (808) 218-7014 Sue Radliffe Acting Administrator Provider No. 125055		16 SNF 4 SNF/NF	60 SNF/ICF	OAHU
21	HOSPICE HAWAII, INC. 566 Papalani Street Kailua, Hawaii 96734 Mailing Address: 860 Iwilei Road Honolulu, Hawaii 96817-5018 Ph: (808) 924-9255 Fax: (808) 922-9161 Kenneth Zeri, RN, MS President & CPO			5 SNF	OAHU
22	ISLAND NURSING HOME 1205 Alexander Street Honolulu, Hawaii 96826 Ph: (808) 946-5027 Fax: (808) 941-5202 Leland Yagi Administrator Provider No. 125005		42 SNF/NF	42 SNF/ICF	OAHU
23	KA PUNAWAI OLA 91-575 Farrington Highway Kapolei, Hawaii 96707 Ph: (808) 674-9262 Fax: (808) 674-9623 Kerry Pitcher Executive Director Provider No. 125051		120 SNF/NF	120 SNF/ICF	OAHU
24	KAHUKU MEDICAL CENTER 56-117 Pualalea Street Kahuku, Hawaii 96731 Ph: (808) 293-9221 Fax: (808) 293-2262 Lance Segawa Administrator Provider No. 125030		10 SNF/NF	10 SNF	OAHU
25	KAU HOSPITAL 1 Kamani Street Pahala, Hawaii 96777 Mailing Address: P.O. Box 40 Pahala, Hawaii 96777 Ph: (808) 928-2050 Fax: (808) 928-8980 Merilyn Harris Administrator Provider No. 125028	X	16 SNF/NF	16 SNF/ICF	HAWAII
26	KAUAI CARE CENTER 9611 Waena Road Waimea, Hawaii 96796 Mailing Address: P.O. Box 507 Waimea, Hawaii 96796 Ph: (808) 338-1681 Fax: (808) 338-1297 Liza Trinidad Administrator Provider No. 12E034		38 NF	38 SNF/ICF	KAUAI
27	KAUAI VETERANS MEMORIAL HOSPITAL 4643 Waimea Canyon Road Waimea, Hawaii 96796 Mailing Address: P.O. Box 337 Waimea, Hawaii 96796 Ph: (808) 338-9431 Fax: (808) 338-9420 Orianna Skomoroch, M.A., C.R.A. Chief Executive Officer Provider No. 125021		20 SNF/NF	20 SNF/ICF	KAUAI
28	KOHALA HOSPITAL 54-383 Hospital Road Kapaau, Hawaii 96755 Mailing Address: P.O. Box 10 Kapaau, Hawaii 96755 Ph: (808) 889-6211 Fax: (808) 889-6978 Donald Lewis Regional Chief Executive Officer Provider No. 125031		24 SNF/NF	24 SNF/ICF	HAWAII
29	KONA COMMUNITY HOSPITAL 79-1019 Haukapila Street Kealakekua, Hawaii 96750 Ph: (808) 322-9311 Fax: (808) 322-4479 Donald Lewis Regional Chief Executive Officer Provider No. 125027		34 SNF/NF	34 SNF/ICF	HAWAII
30	KUAKINI GERIATRIC CARE 347 North Kuakini Street Honolulu, Hawaii 96817 Ph: (808) 547-9357 Fax: (808) 547-9547 Gary K. Kajiwara President & Chief Executive Officer Provider No. 125026		40 SNF/NF 147 NF	187 SNF/ICF	OAHU
31	KULA HOSPITAL 100 Keokea Place Kula, Hawaii 96790-7450 Ph: (808) 878-1221 Fax: (808) 878-1791 Lee Johnson Administrator Provider No. 125003		99 SNF/NF	99 SNF/ICF	MAUI
32	KULANA MALAMA 91-1360 Karayan Street Ewa Beach, Hawaii 96706 Ph: (808) 681-1203 Fax: (808) 453-1929 Jon Kobayashi Administrator Provider No. 125057		30 SNF/NF	30 SNF	OAHU
33	LANAI COMMUNITY HOSPITAL 158 7^th Street Lanai City, Hawaii 96763 Mailing Address: P.O. Box 630650 Lanai City, Hawaii 96763 Ph: (808) 565-6411 Fax: (808) 565-6887 John Schaumburg Administrator Provider No. 125023		10 SNF/NF	10 SNF/ICF	LANAI
34	LEAHI HOSPITAL