SOUTH GRANT ICF / DDH
NPI 1073710976
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Mateo, CA

Q: What is Hale Kokua, Inc.'s NPI number?

The NPI number for Hale Kokua, Inc. is 1073710976. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is also known as South Grant Icf / Ddh.

Q: What is Hale Kokua, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Hale Kokua, Inc. was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 02, 2007

1618 S GRANT ST, SAN MATEO, CA 94402(650) 578-1183 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Grant Icf / Ddh NPPES

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

SOUTH GRANT ICF / DDH (NPI 1073710976) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in San Mateo, California and active in the NPI registry since July 2007. The organization lists Pureza A. Ganio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073710976

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameHALE KOKUA, INC.

Location Address1618 S GRANT STSan Mateo, CA 94402-2657

Mailing Address1433 Dakota AvenueSan Mateo, CA 94401 · (650) 685-4779 · Fax (650) 627-4357

Phone(650) 578-1183

Organization SubpartNo

Authorized OfficialPureza A. GanioCeo · (650) 520-5545

Enumeration DateJuly 2, 2007

Last NPPES UpdateJanuary 21, 2015

✔ NPI 1073710976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in CA · 220000232

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1618 S GRANT ST, San Mateo, CA 94402

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Other Names 1

Other NameSouth Grant Icf / Ddh

Other Identifiers 1

OtherLTC60789HCA · Provider Number

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 Hale Kokua, Inc.'s NPI number?

The NPI number for Hale Kokua, Inc. is 1073710976. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is also known as South Grant Icf / Ddh.

Where is Hale Kokua, Inc. located?

Hale Kokua, Inc. is located at 1618 S Grant St, San Mateo, CA 94402. The listed phone number is (650) 578-1183.

What is Hale Kokua, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Hale Kokua, Inc. was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.