HALE MAKUA - WAILUKU – Skilled Nursing Facility, NPI 1912907759

HALE MAKUA - WAILUKU is a healthcare provider. based in Kahului, Hawaii. specializing in Skilled Nursing Facility. The organization holds a License No. 73-N (HI). The NPI Number for HALE MAKUA - WAILUKU is 1912907759

Main info

Organization
Name
HALE MAKUA - WAILUKU
NPI
1912907759
Phone
(808) 877-2761
Address
472 KAULANA ST
Authorized Official
WESLEY LO CHIEF EXECUTIVE OFFICER
Enumeration Date
22 July 2005
Last Update Date
23 March 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for HALE MAKUA - WAILUKU

  • Hale Makua, 472, Kaulana Street, Kahului, Maui County, Hawaii, 96732, United States

    KAHULUI, HI 967322050

    Phone: (808) 877-2761

    Fax: (808) 871-9262

    Type: Mailing

  • Lower Main Street, Paukukalo, Wailuku, Maui County, Hawaii, 96732-1830, United States

    WAILUKU, HI 967931958

    Phone: (808) 243-1722

    Fax: (808) 243-1744

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20061017000572OSkilled Nursing FacilityHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96732)

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Reviews

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Frequently asked questions

What federal number belongs to HALE MAKUA - WAILUKU?
The federal identifier for HALE MAKUA - WAILUKU is NPI 1912907759.
Is HALE MAKUA - WAILUKU's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does HALE MAKUA - WAILUKU treat or focus on?
Patients typically see HALE MAKUA - WAILUKU under the specialty Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
Where is HALE MAKUA - WAILUKU's primary listing?
We display Kahului, Hawaii because that is what the record indicates for HALE MAKUA - WAILUKU.
Is HALE MAKUA - WAILUKU a real provider?
This page reflects official NPPES data for NPI 1912907759. Always confirm identity and privileges with the practice and licensing boards.

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