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Hale Kupuna Heritage Home, LLC

Nursing Facility/Intermediate Care Facility in Koloa, HI · enumerated 2005 · authorized official Randall Hata, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992792733

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Hale Kupuna Heritage Home, LLC
Practice address 4297c Omao Rd, Koloa, HI, 96756
Phone (808) 742-7591
Fax (808) 742-6563
Enumeration date Oct 5, 2005
Last updated in NPPES Oct 3, 2022

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 61-N (HI) Primary

Authorized official

Name Randall Hata
Title Cfo
Phone (808) 247-0003

Other identifiers

Identifier Type State Issuer
521030-01 Medicaid HI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Hale Kupuna Heritage Home, LLC?
Hale Kupuna Heritage Home, LLC is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-03.