SKILLED NURSING/INTERMEDIATE CARE FACILITIES

FACILITYADULT DAY HEALTH CENTERNUMBER OF LICENSED BEDSLOCATION
15 CRAIGSIDE

15 Craigside Place
Honolulu, Hawaii 96817
Ph: (808) 523-7000  Fax: (888) 446-3218

Keleka Ho’okano
Administrator

Bree Komagome
Chief Operating Officer
CCN:  125063
License No. 79-N
Exp. 10/31/25
 45OAHU
ALOHA NURSING & REHAB CENTRE

45-545 Kamehameha Highway
Kaneohe, Hawaii 96744
Ph: (808) 247-2220     Fax: (808) 235-3676

Sandy Richey
Administrator
CCN:  125038
License No. 28-N
Exp. 11/30/25
 141OAHU
ANN PEARL NURSING FACILITY

45-181 Waikalua Road
Kaneohe, Hawaii 96744
Ph: (808) 247-8558     Fax: (808) 247-4115

Rebecca Canon-Fratis
Administrator
CCN:  125048
License No. 57-N
Exp. 4/30/25
X104OAHU
ARCADIA RETIREMENT RESIDENCE

1434 Punahou Street
Honolulu, Hawaii 96822
Ph: (808) 941-0941   Fax: (808) 949-4965

Shannon Miyazaki
Administrator
CCN:  125014
License No. 13-N
Exp. 11/30/25
 91OAHU
AVALON CARE CENTER – HONOLULU, LLC

1930 Kamehameha IV Road
Honolulu, Hawaii 96819
Ph: (808) 847-4834     Fax: (808) 848-8020

Ka’iulani Ka’alekahi
Administrator
CCN:  125020
License No. 65-N
Exp. 3/31/25
 108OAHU
THE CARE CENTER OF HONOLULU

1900 Bachelot Street
Honolulu, Hawaii 96817
Ph: (808) 531-5302     Fax: (808) 538-3219

Marlen Resiwain
Administrator
CCN:  125019
License No. 16-N
Exp. 10/31/25
 182OAHU
CLARENCE T.C. CHING VILLAS AT ST. FRANCIS

2230 Liliha Street
Honolulu, Hawaii 96817
Ph: (808) 547-6000     Fax: (808) 547-6095

Dusty Davis
Administrator
CCN:  125064
License No. 81-N
Exp. 1/31/26
 119OAHU
GARDEN ISLE HEALTHCARE & REHABILITATION CENTER

3-3420 Kuhio Highway #300
Lihue, Hawaii 96766
Ph: (808) 245-1802     Fax: (808) 245-6515

Bronson Ho
Administrator
CCN:  125004
License No. 68-N
Exp. 2/28/25
 110KAUAI
HALE ANUENUE RESTORATIVE CARE CENTER

1333 Waianuenue Avenue
Hilo, Hawaii 96720
Ph: (808) 961-6644     Fax: (808) 961-6630

Donna Okinaka
Executive Director
CCN:  125045
License No. 52-N
Exp. 12/31/24
 120HAWAII
HALE HO ALOHA

2670 Pacific Heights Road
Honolulu, Hawaii 96813
Ph: (808) 524-1955     Fax:(808) 537-5418

Bryce Sumida, DPT
Administrator
License No. 56-N
Exp. 12/31/24
 59OAHU
HALE HO’OLA HAMAKUA

45-547 Plumeria Street
Honokaa, Hawaii 96727
Ph: (808) 932-4100     Fax: (808) 775-9977

Denise Mackey
Administrator
CCN:  125032
License No. 41-N
Exp. 12/31/24
 66HAWAII
HALE KUPUNA HERITAGE HOME, LLC

4297 A Omao Road
Koloa, Hawaii 96756

Mailing Address:
P.O. Box 1287
Koloa, Hawaii 96756-1287
Ph: (808) 742-7591     Fax: (808) 742-6563

Natalie Kekuewa
Administrator
CCN:  125062
License 61-N
Exp. 11/30/25
 84KAUAI
HALE MAKUA HEALTH SERVICES (KAHULUI)

472 Kaulana Street
Kahului, Hawaii 96732
Ph: (808) 877-2761     Fax: (808) 871-9262

Teana Kaho’ohanohano
Administrator
CCN:  125007
License No. 23-N
Exp. 1/31/25
X254MAUI
HALE MAKUA WAILUKU

1540 Lower Main Street
Wailuku, Hawaii 96793
Ph: (808) 243-1722     Fax: (808) 243-1744

Paul Mattfeld
Administrator
CCN:  125056
License No. 73-N
Exp. 5/31/25
 90MAUI
HALE MALAMALAMA

6163 Summer Street
Honolulu, Hawaii 96821
Ph: (808) 396-0537     Fax: (808) 396-5128

Pauline Y.O. Fukumura
Administrator
CCN:  125050
License No. 53-N
Exp. 11/30/25
 40OAHU
HALE NANI REHABILITATION AND NURSING CENTER

1677 Pensacola Street
Honolulu, Hawaii 96822
Ph: (808) 537-3371    Fax: (808) 528-1613

Rebecca Young
Administrator
CCN:  125011
License No. 64-N
Exp. 3/31/25
 288OAHU
HALE OLA KINO BY ARCADIA

1314 Kalakaua Avenue
Honolulu, Hawaii 96826
Ph: (808) 983-4444     Fax: (808) 983-4499

Roselle Salon
Administrator
CCN:  125047
License No. 55-N
Exp. 10/31/25
 32OAHU
HARRY AND JEANETTE WEINBERG CARE CENTER

45-090 Namoku Street
Kaneohe, Hawaii 96744
Ph: (808) 247-1670     Fax: (808) 235-9661

Beryl Muramatsu
Administrator
CCN:  125033
License No. 12-N
Exp. 2/28/25
 44OAHU
HILO MEDICAL CENTER

1190 Waianuenue Avenue
Hilo, Hawaii 96720
Ph: (808) 932-3000     Fax: (808) 974-4746

Kaui Chartrand
Administrator
CCN:  125002
License No. 44-N
Exp. 1/31/25
 45HAWAII
HI’OLANI CARE CENTER AT KAHALA NUI

4389 Malia Street
Honolulu, Hawaii 96821
Ph: (808) 218-7000     Fax: (808) 218-7014

Michael Brogan
Administrator
CCN:  125055
License No. 71-N
Exp. 10/31/25
 60OAHU
ISLANDS SKILLED NURSING & REHABILITATION LLC

1205 Alexander Street
Honolulu, Hawaii 96826
Ph: (808) 773-8700

Eathyn Manumaleuna
Chief Executive Officer
CCN: 125067
License No. 84-N
Exp. 2/28/25
 42OAHU
KA PUNAWAI OLA

91-575 Farrington Highway
Kapolei, Hawaii 96707
Ph: (808) 674-9262     Fax: (808) 674-9623

Jenalyn Reyes-Caday
Executive Director
CCN:  125051
License No. 59-N
Exp. 11/30/25
 120OAHU
KALAKAUA GARDENS, LLC

1723 Kalakaua Avenue
Honolulu, Hawaii 96826
Ph: (808) 518-2273     Fax: (808) 892-4597

Darrin Schadel
Administrator
CCN: 125066
License No. 83-N
Exp. 2/28/25
 49OAHU
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

Brandi Hori-Moises, RN
Executive Director
CCN:  125061
License No. 51-N
Exp. 3/31/25
 53KAUAI
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

Lance Segawa
Regional Chief Executive Officer
CCN:  125021
License No. 39-N
Exp. 12/31/24
 20KAUAI
KUAKINI GERIATRIC CARE

347 North Kuakini Street
Honolulu, Hawaii 96817
Ph: (808) 547-9357     Fax: (808) 547-9547

David Abe
Administrator
CCN:  125026
License No. 25-N
Exp. 3/31/25
 187OAHU
KULA HOSPITAL

100 Keokea Place
Kula, Hawaii 96790-7450
Ph: (808) 878-1221     Fax: (808) 878-1791

Penny M. Koval
Administrator
CCN:  125003
License No. 35-N
Exp. 9/30/25
 105MAUI
KULANA MALAMA

91-1360 Karayan Street
Ewa Beach, Hawaii 96706
Ph: (808) 681-1203     Fax: (808) 453-1929

Maria Ross
Administrator
CCN:  125057
License No. 75-N
Exp. 6/30/25
 30OAHU
LANAI COMMUNITY HOSPITAL

158 7th Street
Lanai City, Hawaii 96763

Mailing Address:
P.O. Box 630650
Lanai City, Hawaii 96763
Ph: (808) 565-6411     Fax: (808) 565-6887

Penny M. Koval
Administrator
CCN:  125023
License No. 43-N
Exp. 9/30/25
 10LANAI
LEAHI HOSPITAL

3675 Kilauea Avenue
Honolulu, Hawaii 96816
Ph: (808) 733-8000     Fax: (808) 733-7914

Violeta Gonzales
Administrator
CCN:  125010
License No. 40-N
Exp. 10/31/25
X155OAHU
LEGACY HILO REHABILITATION & NURSING CENTER

563 Kaumana Drive
Hilo, Hawaii 96720
Ph: (808) 498-0184     Fax: (808) 935-5801

Kerry Pitcher
Administrator
CCN:  125065
License No. 82-N
Exp. 09/30/25
 100HAWAII
LIFE CARE CENTER OF HILO

944 West Kawailani Street
Hilo, Hawaii 96720
Ph: (808) 959-9151    Fax: (808) 959-6202

Kirsten Huertas
Administrator
CCN:  125040
License No. 33-N
Exp. 1/31/25
 252HAWAII
LIFE CARE CENTER OF KONA

78-6957 Kamehameha III Road
Kona, Hawaii 96740
Ph: (808) 322-2790     Fax: (808) 324-1750

Maryedith Motas
Executive Director
CCN:  125052
License No. 60-N
Exp. 9/30/25
 94HAWAII
LILIHA HEALTHCARE CENTER

1814 Liliha Street
Honolulu, Hawaii 96817
Ph: (808) 537-9557     Fax: (808) 599-4722

Darin Yoshimoto
Administrator
CCN:  125041
License No. 47-N
Exp. 2/28/25
 92OAHU
MALUHIA

1027 Hala Drive
Honolulu, Hawaii 96817
Ph: (808) 832-3000     Fax: (808) 832-3039

Tricia Won, NHA
Interim Administrator
CCN:  125009
License No. 18-N
Exp. 7/31/25
X158OAHU
MANOA COTTAGE KAIMUKI

748 Olokele Avenue
Honolulu, Hawaii 96816
Ph: (808) 232-8274     Fax: (808) 734-0838

Kevin Wu
Administrator
License No. 80-N
Exp. 2/28/25
 27OAHU
MAUNALANI NURSING AND REHABILITATION CENTER

5113 Maunalani Circle
Honolulu, Hawaii 96816
Ph: (808) 732-0771     Fax: (808) 735-5980

Sai Chantavy
Executive Director
CCN:  125013
License No. 5-N
Exp. 10/31/25
 100OAHU
NAVIAN HAWAII

566 Papalani Street
Kailua, Hawaii 96734

Mailing Address:
860 Iwilei Road
Honolulu, Hawaii 96817-5018
Ph: (808) 924-9255     Fax: (808) 922-9161

April Goya
Administrator
License No. 50-N
Exp. 10/31/24
 5OAHU
NUUANU HALE

2900 Pali Highway
Honolulu, Hawaii 96817
Ph: (808) 595-6311     Fax: (808) 595-6188

Gayle Lau
Administrator
CCN:  125024
License No. 22-N
Exp. 10/31/25
 75OAHU
OAHU CARE FACILITY

1808 South Beretania Street
Honolulu, Hawaii 96826
Ph: (808) 973-1900     Fax: (808) 973-1910

Olivia Kim
Administrator
CCN:  125042
License No. 48-N
Exp. 1/31/25
 82OAHU
PALOLO CHINESE HOME

2459 10TH Avenue
Honolulu, Hawaii 96816-3098
Ph: (808) 737-2555     Fax: (808) 735-1754

Darlene Nakayama
Administrator
CCN:  125059
License No. 70-N
Exp. 7/31/25
 113OAHU
PEARL CITY NURSING HOME

919 Lehua Avenue
Pearl City, Hawaii 96782
Ph: (808) 453-1919     Fax: (808) 453-1929

Tyrus Lefler
Administrator
CCN:  125043
License No. 49-N
Exp. 1/31/25
 122OAHU
PU’UWAI ‘O MAKAHA

84-390 Jade Street
Waianae, Hawaii 96792
Ph: (808) 692-9508     Fax: (808) 695-0225

Shonaline Garduque
Administrator
CCN:  125046
License No. 54-N
Exp. 10/31/25
 93OAHU
SAMUEL MAHELONA MEMORIAL HOSPITAL

4800 Kawaihau Road
Kapaa, Hawaii 96746
Ph: (808) 822-4961     Fax: (808) 823-4100

Lance Segawa
Regional Chief Executive Officer
CCN:  125029
License No. 27-N
Exp. 12/31/24
 66KAUAI
YUKIO OKUTSU STATE VETERANS HOME

1180 Waianuenue Avenue
Hilo, Hawaii 96720
Ph: (808) 961-1500

Kaui Chartrand
Administrator
CCN:  125058
License No. 76-N
Exp. 10/31/25
X95HAWAII

OHCA/Medicare 12/20/24 kt