MENTAL HEALTH KOKUA (NPI# 1144645144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144645144 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH KOKUA |
| Practice Address |
1296 Hooli Cir Duplex 11 Pearl City HI 96782-1907 |
| 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 |
| 1053736058 | Mental Health Kokua | Assisted Living Facility | 139 Amau Rd, Hale Amau, Hilo, HI 96720-1402 | 2014-02-27 |
| 1922423938 | Mental Health Kokua | Assisted Living Facility | 1598 Mill St, Wailuku, HI 96793-1949 | 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 |
1296 HOOLI CIR DUPLEX 11 |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| 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 |
|---|---|---|---|---|
| 1750706131 | Mental Health Kokua | Assisted Living Facility | 1186 Kuokoa St, Duplex 1, Pearl City, HI 96782-1956 | 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 | ||||
| City | PEARL CITY |
| Zip Code | 96782 |
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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.