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

Q: What is Islands Skilled Nursing And Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Islands Skilled Nursing And Rehabilitation LLC have?

CMS rates Islands Skilled Nursing & Rehabilitation 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

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: August 16, 2026.

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

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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

Phone(808) 773-8700

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Substantiated Complaints

Infection-Control Citations

Fines

4 totaling $157,171.69

Medicare Payment Denials

Total Penalties

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.

NICOLE ANN CECCHI

Occupational Therapist