MENTAL HEALTH KOKUA (NPI# 1053736058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053736058 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH KOKUA |
| Practice Address |
139 Amau Rd Hale Amau Hilo HI 96720-1402 |
| Mailing Address |
1221 Kapiolani Blvd Ste 345 Honolulu HI 96814-3503 |
| Practice Telephone | 8087372523 |
| Mailing Telephone | 8087372523 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | GREG PAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8087372523 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114346632 | Mental Health Kokua | Assisted Living Facility | 1592 Mill St, Wailuku, HI 96793-1949 | 2014-04-11 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1164841680 | Mental Health Kokua | Assisted Living Facility | 75-5748 Alanoe Street, Hale Alan, Kailua Kona, HI 96740 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| 1922423938 | Mental Health Kokua | Assisted Living Facility | 1598 Mill St, Wailuku, HI 96793-1949 | 2014-02-27 |
| 1144645144 | Mental Health Kokua | Assisted Living Facility | 1296 Hooli Cir, Duplex 11, Pearl City, HI 96782-1907 | 2014-02-27 |
| 1588089585 | Mental Health Kokua | Assisted Living Facility | 140 Wainaku St, Patch 4, Hilo, HI 96720-2309 | 2014-02-27 |
| 1477978484 | Mental Health Kokua | Assisted Living Facility | 208 Wainaku St, Hilo, HI 96720-2311 | 2014-02-27 |
| 1093130007 | Mental Health Kokua | Assisted Living Facility | 4510 Sierra Dr, Sierra House, Honolulu, HI 96816-4024 | 2014-02-27 |
| 1982029906 | Mental Health Kokua | Community/Behavioral Health | Kawaiapua Blvd, Ste 108, Kualapuu, HI 96757 | 2014-02-27 |
| Street Address |
139 AMAU RD HALE AMAU |
| City | HILO |
| State | HI |
| Zip Code | 96720-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588089585 | Mental Health Kokua | Assisted Living Facility | 140 Wainaku St, Patch 4, Hilo, HI 96720-2309 | 2014-02-27 |
| 1477978484 | Mental Health Kokua | Assisted Living Facility | 208 Wainaku St, Hilo, HI 96720-2311 | 2014-02-27 |
| 1447675830 | Mental Health Kokua | Assisted Living Facility | 136 Wainaku St, Patch 1, Hilo, HI 96720-2309 | 2014-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600204 | Breaking Boundaries Recovery Services | Assisted Living Facility | 45-550 Halekou Rd, Apt. B, Kaneohe, HI 96744-5215 | 2014-04-23 |
| 1861812406 | Delia Laurena Adult Residential Care Home LLC | Assisted Living Facility | 1654 Hauiki St, Honolulu, HI 96819-2614 | 2014-04-22 |
| 1114346632 | Mental Health Kokua | Assisted Living Facility | 1592 Mill St, Wailuku, HI 96793-1949 | 2014-04-11 |
| 1346669868 | Waianae Coast Community Mental Health Center | Assisted Living Facility | 84-177a Orange St, Waianae, HI 96792-2265 | 2014-04-11 |
| 1164841680 | Mental Health Kokua | Assisted Living Facility | 75-5748 Alanoe Street, Hale Alan, Kailua Kona, HI 96740 | 2014-04-11 |
| 1588080204 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-028 Makau St, Waianae, HI 96792-1822 | 2014-03-06 |
| 1285050807 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-808 Lihue St, Waianae, HI 96792-2431 | 2014-03-06 |
| 1265858880 | Breaking Boundaries Recovery Services | Assisted Living Facility | 85-841 Lihue St, Waianae, HI 96792-2453 | 2014-03-06 |
| 1841616463 | Breaking Boundaries Recovery Services | Assisted Living Facility | 84-920 Lahaina St, Waianae, HI 96792-2237 | 2014-03-06 |
| 1184040701 | Breaking Boundaries Recovery Services | Assisted Living Facility | 86-619 Puuhulu Rd, Waianae, HI 96792-2724 | 2014-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.