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


Overall Rating: 5 out of 5 stars

NPI Status: Active since November 21, 2006

Contact Information

4800 KAWAIHAU ROAD
KAPAA, HI
ZIP 96746
Phone: (808) 338-9431
Fax: (808) 338-9420

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  • Organization
  • Psychiatric Unit
  • Accepts Insurance
  • CLIA Number: 12D0877885
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 03-09-2027

About SAMUEL MAHELONA MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Samuel Mahelona Memorial Hospital, a provider established in Kapaa, Hawaii operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1255406575 assigned on November 2006. The practitioner's primary taxonomy code is 273R00000X with license number 22 H (). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Rachelle M D Lorenzo (Cfo)

NPI
1255406575
Provider Name
SAMUEL MAHELONA MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
4800 KAWAIHAU ROAD KAPAA, HI 96746
Location Phone
(808) 338-9431
Location Fax
(808) 338-9420
Mailing Address
4800 KAWAIHAU ROAD KAPAA, HI 96746
Mailing Phone
(808) 338-9431
Mailing Fax
(808) 338-9420
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
11-16-2016
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According to the Nursing Home Compare program data, Samuel Mahelona Memorial Hospital has a much above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 5 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
22 H
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. RACHELLE M D LORENZO

Authorized Official Title
CFO
Authorized Official Phone
(808) 338-9431

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12M306MEDICARE OSCAR/CERTIFICATION (06)HI 
592388MEDICAID (05)HI 

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality RatingNot Available
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 5 out of 5 stars - Much Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures RatingNot Available
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
*Not enough data available to calculate a star rating.
Staffing Rating - 5 out of 5 stars - Much Above Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours3.35 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours2.1 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeGovernment - State
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds66 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day45 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints0 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D0877885
Facility Type
Hospital
Certificate Effective Date
March 10, 2025
Certificate Expiration Date
March 09, 2027
Laboratory Director
DR. ANDREW WHELEN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Samuel Mahelona Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for SAMUEL MAHELONA MEMORIAL HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255406575, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 8 + 0 + 1 + 2 + 5 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1255406575.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255406575, enumerated as an "organization" on November 21, 2006.

The provider is located at 4800 KAWAIHAU ROAD KAPAA, HI 96746 and the phone number is (808) 338-9431.

Psychiatric Unit with taxonomy code 273R00000X.

The provider might be accepting Accepts: HMSA, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.