OrganizationActive
Hale Kupuna Heritage Home, LLC
NPI 1992792733 · Nursing Facility/Intermediate Care Facility · Koloa, HI
Provider details
- NPI number
- 1992792733
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Hata, Cfo(808) 247-0003
- License
- 61-N (HI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4297c Omao Rd
Koloa, HI 96756-9624
Phone: (808) 742-7591
Fax: (808) 742-6563
Approximate (ZIP-level) locationGet directions
Mailing address
45-181 Waikalua Rd
Kaneohe, HI 96744-2765
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.