Hale Kupuna Heritage Home, LLC
NPI 1992792733 · Nursing Facility/Intermediate Care Facility · Koloa, HI
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hale Kupuna Heritage Home, LLC is a Nursing Facility/Intermediate Care Facility organization in Koloa, HI (NPI 1992792733).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2022-10-03
- Certified
- 2022-10-03
Frequently asked questions
- What is Hale Kupuna Heritage Home, LLC's NPI number?
- Hale Kupuna Heritage Home, LLC's National Provider Identifier (NPI) is 1992792733, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hale Kupuna Heritage Home, LLC?
- Hale Kupuna Heritage Home, LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Hale Kupuna Heritage Home, LLC located?
- Hale Kupuna Heritage Home, LLC's practice location on file with NPPES is 4297c Omao Rd, Koloa, HI 96756-9624.
- What is Hale Kupuna Heritage Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Hale Kupuna Heritage Home, LLC is (808) 742-7591.
- Does Hale Kupuna Heritage Home, LLC accept Medicare?
- Hale Kupuna Heritage Home, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hale Kupuna Heritage Home, LLC?
- The authorized official listed on Hale Kupuna Heritage Home, LLC's NPPES record is Randall Hata, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hale Kupuna Heritage Home, LLC's NPI active?
- Yes — Hale Kupuna Heritage Home, LLC's NPI (1992792733) is active in the NPPES registry as of the last update on 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.