ISLANDS SKILLED NURSING AND REHABILITATION LLC
NPI 1427619428
Skilled Nursing Facility in Honolulu, HI

Active since June 21, 2019CLIA 12D2174191 · Waiver
2/5
Overall Rating
1205 ALEXANDER ST, HONOLULU, HI 96826(808) 773-8700(808) 773-8701 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 29, 2026, May 16, 2024, Jan 27, 2022 and 3 more (6 updates tracked since 2019).

About Islands Skilled Nursing And Rehabilitation Llc NPPES

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

ISLANDS SKILLED NURSING AND REHABILITATION LLC (NPI 1427619428) is a healthcare organization registered as a skilled nursing facility in Honolulu, Hawaii and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Nicole Smith, Rcm, as its authorized official.

NPPES Registry Identity

NPI1427619428
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameISLANDS SKILLED NURSING AND REHABILITATION LLC
Location Address1205 ALEXANDER STHonolulu, HI 96826-1229
Mailing Address7817 Ivanhoe Ave Ste 101La Jolla, CA 92037-4541 · (918) 576-3070 · Fax (918) 516-0609
Fax(808) 773-8701
Organization SubpartNo
Authorized OfficialNicole SmithRcm · (918) 576-3070
Enumeration DateJune 21, 2019
Last NPPES UpdateJanuary 29, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1427619428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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 ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
1205 ALEXANDER ST, Honolulu, HI 96826

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 Waiver 12D2174191

Islands Skilled Nursing & Rehabilitation · Honolulu, HI
Active · expires Oct 27, 2027
CLIA Number12D2174191
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorKiyotaka A. Yazawa
Laboratory Phone(808) 773-8700
Laboratory LocationIslands Skilled Nursing & Rehabilitation1205 Alexander St, Honolulu, HI 96826
CLIA data matches this NPI record on: Address 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 Islands Skilled Nursing & Rehabilitation (CMS certification number 125067), from CMS Care Compare.

Islands Skilled Nursing & Rehabilitation

Nursing home · Honolulu, HI
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number125067
Certified Beds42 beds34 residents per day on average
Medicare & Medicaid Participant SinceApril 30, 2020
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.
5/5
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.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
120.67
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.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
2
Fines
4 totaling $157,171.69
Medicare Payment Denials
1
Total Penalties
5
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 5

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

Skilled Nursing Facility
1205 ALEXANDER ST
HONOLULU, HI 96826
Occupational Therapist
1205 ALEXANDER ST
HONOLULU, HI 96826
Physical Therapy Assistant
1205 ALEXANDER ST
HONOLULU, HI 96826
Occupational Therapist
1205 ALEXANDER ST
HONOLULU, HI 96826
Registered Nurse
1205 ALEXANDER ST
HONOLULU, HI 96826

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427619428, enumerated as an "organization" on June 21, 2019.

The provider is located at 1205 ALEXANDER ST HONOLULU, HI 96826 and the phone number is (808) 773-8700.

Skilled Nursing Facility with taxonomy code 314000000X.

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