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LIFE CARE CENTER OF KONA
NPI 1194156604
Clinic/Center - Physical Therapy in Kailua Kona, HI

Active since December 09, 2013CLIA 12D0670026 · Waiver
3/5
Overall Rating
78-6957 KAMEHAMEHA III RD, KAILUA KONA, HI 96740(808) 322-2790 Get Directions Write a Review

NPPES record last updated: December 9, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Care Center Of Kona NPPES

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

LIFE CARE CENTER OF KONA (NPI 1194156604) is a healthcare organization registered as a physical therapy in Kailua Kona, Hawaii and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Pomaikai Anduha, Physical Therapist Assistant, as its authorized official.

NPPES Registry Identity

NPI1194156604
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLIFE CARE CENTER OF KONA
Location Address78-6957 KAMEHAMEHA III RDKailua Kona, HI 96740-2528
Mailing Address78-6957 Kamehameha Iii RdKailua Kona, HI 96740-2528
Phone(808) 322-2790
Organization SubpartNo
Authorized OfficialPomaikai AnduhaPhysical Therapist Assistant · (808) 322-2790
Enumeration DateDecember 9, 2013
✔ NPI 1194156604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
78-6957 KAMEHAMEHA III RD, Kailua Kona, HI 96740
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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 12D0670026

Life Care Center Of Kona · Kailua Kona, HI
Active · expires Aug 31, 2026
CLIA Number12D0670026
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Paul Hayward
Laboratory Phone(808) 322-2790
Laboratory LocationLife Care Center Of Kona78-6957 Kamehameha Rd III, Kailua Kona, HI 96740
CLIA data matches this NPI record on: 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 Life Care Center Of Kona (CMS certification number 125052), from CMS Care Compare.

Life Care Center Of Kona

Nursing home · Kailua Kona, HI
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number125052
Certified Beds94 beds49 residents per day on average
Medicare & Medicaid Participant SinceOctober 23, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
96
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 1.89 · LPN 0.7 · RN 1.06
3.65 hrs per resident per day
Weekend Nurse Staffing
3.3 hrs per resident per day
Physical Therapist Staffing
0.15 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.3%
Registered Nurse Turnover
33.3%
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
1
Substantiated Complaints
2
Fines
2 totaling $41,619.50
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 15

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

KRISTINA M. FOX OTR
Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
ASHLEY MCKELLAR
Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
MR. STEVEN HUDAK M.P.T.
Physical Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
NATALIE VITALE-ULU MHS SLP-CCC
Speech-Language Pathologist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (180) 832-2790
MRS. MARY SUE ROSSSPSPS SP
Specialist/Technologist (Speech-Language Assistant)
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
MRS. VALERIE ROBIN GILLIS P.T.
Physical Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
DIANE IRENE BERGERON OTR
Occupational Therapist
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790
DR. PAUL JOEL HAYWARD DO
General Practice
78-6957 KAMEHAMEHA III RD
KAILUA KONA, HI 96740
Hawaii County (808) 322-2790

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 Life Care Center Of Kona's NPI number?

The NPI number for Life Care Center Of Kona is 1194156604. It was assigned to this organization in the NPPES registry on December 9, 2013.

Where is Life Care Center Of Kona located?

Life Care Center Of Kona is located at 78-6957 Kamehameha III Rd, Kailua Kona, HI 96740. The listed phone number is (808) 322-2790.

What is Life Care Center Of Kona's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Life Care Center Of Kona hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0670026) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Life Care Center Of Kona a Medicare-certified nursing home?

Yes. Life Care Center Of Kona is a Medicare-certified nursing home with 94 certified beds.

What quality rating does Life Care Center Of Kona have?

CMS rates Life Care Center Of Kona 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Life Care Center Of Kona was last updated on December 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.