SAMUEL MAHELONA MEMORIAL HOSPITAL
NPI 1255406575
Psychiatric Unit in Kapaa, HI

Active since November 21, 2006CLIA 12D0877885 · Certificate of Compliance
5/5
Overall Rating
4800 KAWAIHAU ROAD, KAPAA, HI 96746(808) 338-9431(808) 338-9420 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2016, Nov 8, 2016, Nov 1, 2016 (3 updates tracked since 2016).

About Samuel Mahelona Memorial Hospital NPPES

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

SAMUEL MAHELONA MEMORIAL HOSPITAL (NPI 1255406575) is a healthcare organization registered as a psychiatric unit in Kapaa, Hawaii and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 9, 2027 and lists Rachelle M D Lorenzo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255406575
Entity TypeOrganization
Primary Taxonomy273R00000X
Legal Business NameSAMUEL MAHELONA MEMORIAL HOSPITAL
Location Address4800 KAWAIHAU ROADKapaa, HI 96746-1998
Mailing Address4800 Kawaihau RoadKapaa, HI 96746-1998 · (808) 338-9431 · Fax (808) 338-9420
Fax(808) 338-9420
Organization SubpartNo
Authorized OfficialRachelle M D LorenzoCfo · (808) 338-9431
Enumeration DateNovember 21, 2006
Last NPPES UpdateNovember 16, 20163 updates tracked since enumeration
NPI 1255406575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric UnitHospital Units
Taxonomy Code273R00000X
License Licensed · 22 H
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
4800 KAWAIHAU ROAD, Kapaa, HI 96746

Other Identifiers 2

Medicare OSCAR/certification12M306HI
Medicaid592388HI

Accepted 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 Compliance 12D0877885

Samuel Mahelona Memorial Hospital · Kapaa, HI
Active · expires Mar 9, 2027
CLIA Number12D0877885
Laboratory TypeHospital
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorDr. Andrew Whelen
Laboratory Phone(808) 823-4195
Laboratory LocationSamuel Mahelona Memorial Hospital4800 Kawaihau Rd, Kapaa, HI 96746
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Samuel Mahelona Memorial Hospital (CMS certification number 125029), from CMS Care Compare.

Samuel Mahelona Memorial Hospital

Nursing home · Kapaa, HI
5/5 CMS Overall Rating
OwnershipGovernment - State
CMS Certification Number125029
Certified Beds66 beds45 residents per day on average
Medicare & Medicaid Participant SinceJuly 15, 1976
Resident & Family CouncilResident council
Hospital-based 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.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
37.33
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 3.35 · LPN 0.42 · RN 2.1
5.87 hrs per resident per day
Weekend Nurse Staffing
5.32 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
12.3%
Registered Nurse Turnover
0%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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.

Medicare Defined Swing Bed Unit
4800 KAWAIHAU ROAD
KAPAA, HI 96746
Nursing Facility/Intermediate Care Facility
4800 KAWAIHAU ROAD
KAPAA, HI 96746
General Acute Care Hospital (Critical Access)
4800 KAWAIHAU ROAD
KAPAA, HI 96746

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 Samuel Mahelona Memorial Hospital's NPI number?

The NPI number for Samuel Mahelona Memorial Hospital is 1255406575. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Samuel Mahelona Memorial Hospital located?

Samuel Mahelona Memorial Hospital is located at 4800 Kawaihau Road, Kapaa, HI 96746. The listed phone number is (808) 338-9431.

What is Samuel Mahelona Memorial Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.

Does Samuel Mahelona Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 12D0877885) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Samuel Mahelona Memorial Hospital a Medicare-certified nursing home?

Yes. Samuel Mahelona Memorial Hospital is a Medicare-certified nursing home with 66 certified beds.

What quality rating does Samuel Mahelona Memorial Hospital have?

CMS rates Samuel Mahelona Memorial Hospital 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Samuel Mahelona Memorial Hospital accept?

Health plans from HMSA list Samuel Mahelona Memorial Hospital 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 Samuel Mahelona Memorial Hospital was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.