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LILIHA KUPUNA SNF, LLC.
NPI 1730932286
Clinic/Center - Multi-Specialty in Honolulu, HI

Active since April 05, 2024CLIA 12D2092355 · Waiver
2230 LILIHA ST STE 500, HONOLULU, HI 96817(808) 547-6000 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liliha Kupuna Snf, Llc. NPPES

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

LILIHA KUPUNA SNF, LLC. (NPI 1730932286), doing business as The Ching Villas, is a healthcare organization registered as a multi-specialty in Honolulu, Hawaii and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Randall I Hata, Vp, as its authorized official.

NPPES Registry Identity

NPI1730932286
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLILIHA KUPUNA SNF, LLC.
Location Address2230 LILIHA ST STE 500Honolulu, HI 96817-1697
Mailing Address45-181 Waikalua RdKaneohe, HI 96744-2765
Phone(808) 547-6000
Organization SubpartYes
Authorized OfficialRandall I HataVp · (808) 286-2060
Enumeration DateApril 5, 2024
NPPES CertifiedApril 5, 2024
✔ NPI 1730932286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
2230 LILIHA ST STE 500, Honolulu, HI 96817
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Ching Villas

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 12D2092355

Liliha Kupuna Snf LLC Dba Clarence Tc Ching Villas · Honolulu, HI
Active · expires Mar 2, 2027
CLIA Number12D2092355
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorDusty Davis
Laboratory Phone(808) 547-6000
Laboratory LocationLiliha Kupuna Snf LLC Dba Clarence Tc Ching Villas2230 Liliha St Suite 108, Honolulu, HI 96817
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BRIANA DACOSCOS COTA
Occupational Therapy Assistant
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 797-2916
MASON YOSHIDA
Physical Therapist
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6027
MYREL AGBAYANI OTD, OTR/L
Occupational Therapist
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6000
KASSIDY REDE PT, DPT
Physical Therapist
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 797-2916
THOMAS GEBHARDT COTA
Occupational Therapy Assistant
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6000
JOSEPH-SALVADOR PORTUGAL LABRADOR
Physical Therapy Assistant
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6000
MS. SALLY MICHELLE KIPPS
Physical Therapist
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6500
LINDSEY HERBERT
Occupational Therapist
2230 LILIHA ST STE 500
HONOLULU, HI 96817
Honolulu County (808) 547-6027

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 Liliha Kupuna Snf, LLC.'s NPI number?

The NPI number for Liliha Kupuna Snf, LLC. is 1730932286. It was assigned to this organization in the NPPES registry on April 5, 2024. The provider is doing business as The Ching Villas.

Where is Liliha Kupuna Snf, LLC. located?

Liliha Kupuna Snf, LLC. is located at 2230 Liliha St Ste 500, Honolulu, HI 96817. The listed phone number is (808) 547-6000.

What is Liliha Kupuna Snf, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Liliha Kupuna Snf, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2092355) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liliha Kupuna Snf, LLC. accept?

Health plans from HMSA list Liliha Kupuna Snf, LLC. 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 Liliha Kupuna Snf, LLC. was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.