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ANN PEARL NURSING FACILITY
NPI 1043207202
Skilled Nursing Facility in Kaneohe, HI

Active since October 03, 2005CLIA 12D0943787 · Waiver
2/5
Overall Rating
45-181 WAIKALUA RD, KANEOHE, HI 96744(808) 247-8558(808) 247-4115 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2022, Jul 21, 2022, May 16, 2019 (3 updates tracked since 2019).

About Ann Pearl Nursing Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANN PEARL NURSING FACILITY (NPI 1043207202) is a healthcare organization registered as a skilled nursing facility in Kaneohe, Hawaii and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Randall Hata, Secretary & Treasurer, as its authorized official.

NPPES Registry Identity

NPI1043207202
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameANN PEARL CARE HOME, INC
Location Address45-181 WAIKALUA RDKaneohe, HI 96744-2765
Mailing Address45-181 Waikalua RdKaneohe, HI 96744-2765 · (808) 247-8558 · Fax (808) 247-4115
Phone(808) 247-8558
Fax(808) 247-4115
Organization SubpartNo
Authorized OfficialRandall HataSecretary & Treasurer · (808) 247-0003
Enumeration DateOctober 3, 2005
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1043207202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in HI · 57-N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
45-181 WAIKALUA RD, Kaneohe, HI 96744
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Other Names 1

Doing Business AsAnn Pearl Nursing Facility

Other Identifiers 2

OtherC0000475HI · Hmsa 65c
Medicaid001594-01HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D0943787

Ann Pearl Nursing Facility · Kaneohe, HI
Active · expires Apr 1, 2028
CLIA Number12D0943787
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAshlynne Spencer
Laboratory Phone(808) 247-8558
Laboratory LocationAnn Pearl Nursing Facility45-181 Waikalua Rd, Kaneohe, HI 96744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Ann Pearl Nursing Facility (CMS certification number 125048), from CMS Care Compare.

Ann Pearl Nursing Facility

Nursing home · Kaneohe, HI
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number125048
Certified Beds104 beds45 residents per day on average
Medicare & Medicaid Participant SinceDecember 28, 1998
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
112.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.65 · LPN 0.25 · RN 1.39
4.29 hrs per resident per day
Weekend Nurse Staffing
3.65 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
44.3%
Registered Nurse Turnover
52.9%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
7
Substantiated Complaints
1
Infection-Control Citations
0
Fines
2 totaling $70,660.85
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA PROWS PTA
Physical Therapy Assistant
45-181 WAIKALUA RD
KANEOHE, HI 96744
Honolulu County (808) 247-8558
ANN PEARL CARE HOME, LLC
Skilled Nursing Facility
45-181 WAIKALUA RD
KANEOHE, HI 96744
Honolulu County (808) 247-8558
KALELE CARE SERVICES LLC
Nurse Practitioner (Community Health)
45-181 WAIKALUA RD
KANEOHE, HI 96744
Honolulu County (808) 247-0003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ann Pearl Care Home, Inc's NPI number?

The NPI number for Ann Pearl Care Home, Inc is 1043207202. It was assigned to this organization in the NPPES registry on October 3, 2005. The provider is doing business as Ann Pearl Nursing Facility.

Where is Ann Pearl Care Home, Inc located?

Ann Pearl Care Home, Inc is located at 45-181 Waikalua Rd, Kaneohe, HI 96744. The listed phone number is (808) 247-8558.

What is Ann Pearl Care Home, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ann Pearl Care Home, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0943787) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ann Pearl Care Home, Inc a Medicare-certified nursing home?

Yes. Ann Pearl Nursing Facility is a Medicare-certified nursing home with 104 certified beds.

What quality rating does Ann Pearl Care Home, Inc have?

CMS rates Ann Pearl Nursing Facility 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ann Pearl Care Home, Inc accept?

Health plans from HMSA list Ann Pearl Care Home, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ann Pearl Care Home, Inc was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.