MENTAL HEALTH KOKUA (NPI# 1710302104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710302104 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH KOKUA |
| Practice Address |
1316 Dominis St Honolulu HI 96822-3018 |
| Mailing Address |
1221 Kapiolani Blvd Ste 345 Honolulu HI 96814-3503 |
| Practice Telephone | 8087372523 |
| Mailing Telephone | 8087372523 |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |
| 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 |
| 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 |
| Street Address |
1316 DOMINIS ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96822-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980231 | Talia Rachel Schwartz | Counselor | 2444 Dole St, Krauss Hall 101, The University of Hawaii At Manoa, Honolulu, HI 96822 | 2019-09-11 |
| 1689239667 | Taylor Stacy | Psychologist | 2444 Dole Street, Krauss Hall 101, Honolulu, HI 96822 | 2019-05-06 |
| 1881152916 | Talaivosa Moala | Nurse's Aide | 1929-a Wilder Avenue, Honolulu, HI 96822 | 2019-03-07 |
| 1720505761 | Nalani Cook | Physical Therapist | 3577 Pinao Street, Unit 48, Honolulu, HI 96822 | 2017-08-29 |
| 1568986230 | Aaron Michael Neis | Student in an Organized Health Care Education/Training Program | 2444 Dole Street, Krauss Hall 23, Honolulu, HI 96822 | 2017-08-03 |
| 1568985448 | Tommie Mitsuko Yamamoto | Student in an Organized Health Care Education/Training Program | 2530 Dole Street, Sakamaki C 400, Honolulu, HI 96822 | 2017-07-21 |
| 1568997005 | Wade Yamasaki | Specialist/Technologist | 1337 Lower Campus Road, Honolulu, HI 96822 | 2017-04-21 |
| 1699123067 | Elyssa Nakanishi | Technician, Other | 1330 Wilder Ave Apt 319, Honolulu, HI 96822 | 2016-05-26 |
| 1619348737 | Amanda Marie Vincent | Counselor | Sakamaki Hall C400, 2530 Dole St., University of Hawaii At Manoa Department of Psychology, Honolulu, HI 96822 | 2015-10-15 |
| 1982081139 | Virginia Huntley | Physical Therapist | 3588a Woodlawn Drive, Honolulu, HI 96822 | 2015-04-27 |
| Find all providers in zip 96822 | ||||
| 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 |
|---|---|---|---|---|
| 1861812406 | Delia Laurena Adult Residential Care Home LLC | Assisted Living Facility | 1654 Hauiki St, Honolulu, HI 96819-2614 | 2014-04-22 |
| 1093130007 | Mental Health Kokua | Assisted Living Facility | 4510 Sierra Dr, Sierra House, Honolulu, HI 96816-4024 | 2014-02-27 |
| 1679998678 | Steadfast Housing Development Corp | Assisted Living Facility | 1019-b 8th Avenue, Honolulu, HI 96816-2490 | 2014-02-27 |
| 1811312978 | Breaking Boundaries Recovery Services | Assisted Living Facility | 1676 Piikea St, Honolulu, HI 96818-1843 | 2014-02-26 |
| 1871918144 | Mental Health Kokua | Assisted Living Facility | 3443 Pahoa Ave, Hale Alohi, Honolulu, HI 96816-2158 | 2014-02-24 |
| 1689099061 | Steadfast Housing Development Corp | Assisted Living Facility | 1025 2nd Ave, Honolulu, HI 96816-1406 | 2014-02-21 |
| 1326462953 | Prieto, Gloria Albano Dba Prieto Arch & Expanded Care Arch, LLC | Assisted Living Facility | 3504 Likini St, Honolulu, HI 96818-2105 | 2014-02-18 |
| 1245654870 | Mukai, Joyce R. | Assisted Living Facility | 2465 Ala Wai Blvd Apt 904, Honolulu, HI 96815-3432 | 2014-02-18 |
| 1497170765 | Mental Health Kokua | Assisted Living Facility | 41 S Beretania St, Safe Haven, Honolulu, HI 96813-2220 | 2014-02-24 |
| 1174948681 | Talavera, Elsa P. Dba Islandcare Management | Assisted Living Facility | 1188 Bishop St, Suite 1508, Honolulu, HI 96813-3301 | 2014-02-20 |
| Find all providers in HONOLULU | ||||
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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.