Hale Kokua, Inc.
NPI 1174720072 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · San Mateo, CA
Hale Kokua, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in San Mateo, CA (NPI 1174720072).
Provider details
- NPI number
- 1174720072
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Pureza Ganio, Licensee(650) 520-5545
- License
- 220000319 (CA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 220000319 (CA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bay Horizon Icf / Ddh
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2015-01-21
Frequently asked questions
- What is Hale Kokua, Inc.'s NPI number?
- Hale Kokua, Inc.'s National Provider Identifier (NPI) is 1174720072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hale Kokua, Inc.?
- Hale Kokua, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Hale Kokua, Inc. located?
- Hale Kokua, Inc.'s practice location on file with NPPES is 516 Ocean View Ave, San Mateo, CA 94401-3029.
- What is Hale Kokua, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Hale Kokua, Inc. is (650) 347-1164.
- Who is the authorized official for Hale Kokua, Inc.?
- The authorized official listed on Hale Kokua, Inc.'s NPPES record is Pureza Ganio, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hale Kokua, Inc.'s NPI active?
- Yes — Hale Kokua, Inc.'s NPI (1174720072) is active in the NPPES registry as of the last update on 2015-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.