Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hale Kupuna Heritage Home, LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1992792733

Hale Kupuna Heritage Home, LLC is a Nursing Facility/Intermediate Care Facility in Koloa, Hawaii. Medicare rates this nursing home 4 out of 5. Licensed in Hawaii.

CMS rating
4 of 5
Licensed in
HI
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

CMS quality rating

4 out of 5 — official nursing home rating from CMS Care Compare (CCN 125062)
Health inspection3.0 / 5
Staffing5.0 / 5
Quality measures3.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

4297C Omao Rd
Koloa, HI 96756-9624
Phone: (808) 742-7591
Fax: (808) 742-6563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 61-N (HI)

Record details

NPI number1992792733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Hata — Cfo · (808) 247-0003
NPI enumeratedOctober 5, 2005
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022
Mailing address45-181 Waikalua Rd, Kaneohe, HI 96744-2765