Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory ADDENDUM June 2015 NEW PROVIDERS OAHU Acute Waitlisted SNF/ICF Leahi Hospital 3675 Kilauea Ave. 808-733-7932 Maluhia Hospital 1027 Hala Dr. 808-832-6150 Queen s Medical Center 1301 Punchbowl St. 808-585-5419 Queen s Medical Center West Oahu 91-2141 Fort Weaver Rd. 808-691-3000 Adult Day Health Ann Pearl Nursing Facility 45-181 Waikalua Rd. 808-247-8558 Community Care Foster Family Home (CCFFH) Vicenta Acosta 94-1037 Mahoe Pl. 808-671-4208 808-636-5370 Purificacion Aguinaldo 91-2176B Fort Weaver Rd. 808-681-5364, Ilocano Edsa Almazan 94-295 Loaa St. 808-728-0129, Ilocano Melecia Andres 1182 Manuwa Dr. Honolulu, HI 96818 808-422-1707 Ilocano, Oscar Anunciacion 94-342 Apowale St. 808-671-1150 Rosalina Ayala 91-1298 Hoopio St. 808-681-4037 Dominador Balinbin 94-1034 Paiwa Pl. 808-971-1680 Joanne Baysa 94-1123 Halelehua St. 808-384-1175 This is a list of changes to the Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) provider network as of June 2015. Please keep this list with the Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory that was published in January 2015. 4667M-15
Community Care Foster Family Home (CCFFH) (continued) Evelyn Beltran 94-375 Mokuola St. 808-678-0249, Ilocano Beatriz Camat 1137 Ihi Ihi Ave. 808-428-8396 Ilocano, Cesar Comiso 91-951 Puhikani St. 808-683-6616 Belinda Dimaya 94-1035 Kuhaulua St. 808-676-5535 JJJB Foster Home 94-1028 Hohola St. 808-677-1076 Emelita Laurente 1703 Kamehameha IV Rd. 808-398-0686 Noralyn Malacas 94-150 Kupuna Lp. 808-888-4325 808-439-9494 Baltazar Mayo 91-706 Poloula Pl. 808-683-1242 Lily Mendoza 91-960 Komana St. 808-689-8485 Ilocano, Jenneline Molina 1854 Kamehameha IV Rd. 808-366-4023 Ginalyn Paguirigan 1542 Iao Ln. 808-425-6444 Lucrecia Paraon 91-1168 Kauiki St. 808-689-1458 Lorenza Parel 94-1492 Waipahu St. 808-676-5019 Digna Quemado 94-1029 Lumiaina St. 808-677-8148 Ilocano, Nicerita Rabut 44-781 Kaneohe Bay Dr. 808-247-2418 Esmeralda Racachot 114 Kaniahe Pl. 808-621-6896 Glenda Ramo 94-402 Lehopulu St. 808-678-1547, Ilocano Alejandrina Seatriz 91-1050 Kauiki St. 808-888-4910 Ilocano, Corazon Tan 94-1169 Heahea St. 808-676-8079 Pat Tangonan 94-571 Anaaina Pl. 808-677-9992 Myrna Tumbaga 4506 Ukali St. Honolulu, HI 96818 808-271-3015 Ilocano Trinidad Tumbaga 91-993 Keoneae Pl. 808-685-4488 808-397-9070 Losaline Tupouniua 44-111 Puuohalai Pl. 808-261-5785 Mildred Uytiepo 1637 Ahihi St. 808-841-1736 2 Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015
Community Care Management Agency (CCMA) Absolute Care Management Services 98-625 Aloalii St. Aiea, HI 96701 808-351-7897 Counseling and Training Infinite Care Plus 94-378 Pupupani St., #204 808-678-9688 Metrocare Hawaii Plus 94-210 Pupukahi St., #202 808-934-8334 Environmental Accessibility Adaptations (EAA) Trace Industries, Inc. 2688 Kilihau St. 808-834-5601 Expanded Adult Residential Care Homes (E-ARCH) Purificacion Aguinaldo 91-2176B Fort Weaver Rd. 808-681-5364, Ilocano Teresita Domingo 94-905 Hiapo St. 808-676-1126 Lorenza Parel 94-1492 Waipahu St. 808-676-5019 Home Maintenance Trace Industries, Inc. 2688 Kilihau St. 808-834-5601 Intermediate Care Facility (ICF) Ann Pearl Nursing Facility 45-181 Waikalua Rd. 808-247-8558 Avalon Care Center Honolulu 1930 Kamehameha IV Rd. 808-847-4834 Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI 96822 808-537-3371 Care Center of Honolulu 1900 Bachelot St. 808-531-5302 Hale Malamalama 6163 Summer St. 808-396-0537 Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl. 808-983-4444 Hiolani Care Center at Kahala Nui 4389 Malia St. 808-218-7000 Island Nursing Home 1205 Alexander St. 808-946-5027 Ka Punawai Ola 91-575 Farrington Hwy. Kapolei, HI 96707 808-674-9262 Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir. 808-732-0771 Oahu Care Facility 1808 S. Beretania St. 808-973-1900 Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI 96782 808-453-1919 Pohai Nani Care Center 45-090 Namoku St. 808-247-6211 Puuwaio Makaha (Leeward Integrated Health Services) 84-390 Jade St. Waianae, HI 96792 808-695-9508 Visit us at kpquest.org 3
Moving Assistance Island Movers P.O. Box 17865 808-832-4808 Non-Medical Transportation Ecocab Hawaii 3060 Ualena St. 808-979-1010 Akamai Cab 1785 S. King St. 808-941-2683 Nursing Facility (NF) Avalon Care Center Honolulu 1930 Kamehameha IV Rd. 808-847-4834 Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI 96822 808-537-3371 Hale Malamalama 6163 Summer St. 808-396-0537 Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl. 808-983-4444 Hiolani Care Center at Kahala Nui 4389 Malia St. 808-218-7000 Island Nursing Home 1205 Alexander St. 808-946-5027 Ka Punawai Ola 91-575 Farrington Hwy. Kapolei, HI 96707 808-674-9262 Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir. 808-732-0771 Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI 96782 808-453-1919 Pohai Nani Care Center 45-090 Namoku St. 808-247-6211 Puuwaio Makaha (Leeward Integrated Health Services) 84-390 Jade St. Waianae, HI 96792 808-695-9508 Personal Care Assistance Hawaii Nursing Solutions 1188 Bishop St., #2004 808-531-8010 Heaven s Helpers 1388 Kapiolani Blvd., #200 Honolulu, HI 96814 808-952-6898 Respite Care Hawaii Nursing Solutions 1188 Bishop St., #2004 808-531-8010 Skilled (or Private Duty) Nursing Cradles N Crayons 95-226 Haike Pl. Mililani, HI 96789 808-927-5092 808-542-2901 Hawaii Nursing Solutions 1188 Bishop St., #2004 808-531-8010 Skilled Nursing Facility (SNF) Ann Pearl Nursing Facility 45-181 Waikalua Rd. 808-247-8558 Avalon Care Center Honolulu 1930 Kamehameha IV Rd. 808-847-4834 Avalon Care Center Hale Nani 1677 Pensacola St. Honolulu, HI 96822 808-537-3371 Care Center of Honolulu 1900 Bachelot St. 808-531-5302 Hale Malamalama 6163 Summer St. 808-396-0537 Hale Ola Kino 1314 Kalakaua Ave., 2nd Fl. 808-983-4444 Hiolani Care Center at Kahala Nui 4389 Malia St. 808-218-7000 4 Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015
Skilled Nursing Facility (SNF) (continued) Island Nursing Home 1205 Alexander St. 808-946-5027 Ka Punawai Ola 91-575 Farrington Hwy. Kapolei, HI 96707 808-674-9262 Maunalani Nursing and Rehabilitation Center 5113 Maunalani Cir. 808-732-0771 Oahu Care Facility 1808 S. Beretania St. 808-973-1900 Pearl City Nursing Home 919 Lehua Ave. Pearl City, HI 96782 808-453-1919 Pohai Nani Care Center 45-090 Namoku St. 808-247-6211 Puuwaio Makaha (Leeward Integrated Health Services) 84-390 Jade St. Waianae, HI 96792 808-695-9508 Subacute Facility Services Queen s Medical Center 1301 Punchbowl St. 808-585-5419 MAUI Acute Waitlisted SNF/ICF Kula Hospital 100 Keokea Pl. Kula, HI 96790 808-878-1221 Maui Memorial Medical Center 221 Mahalani St. Wailuku, HI 96793 808-244-9056 Environmental Accessibility Adaptations (EAA) Home Maintenance Trace Industries, Inc. 2688 Kilihau St. 808-834-5601 Moving Assistance Island Movers P.O. Box 17865 808-832-4808 Visit us at kpquest.org 5
CHANGES TO THE NETWORK OAHU The following providers are no longer part of the provider network: Adult Day Care Center (ADC) Ori Anuenue Hale, Inc. Wellness Center 64-1488 Kamehameha Hwy. 808-622-3929 Adult Day Health Center (ADH) Ori Anuenue Hale, Inc. Wellness Center 64-1488 Kamehameha Hwy. 808-622-3929 Community Care Foster Family Home (CCFFH) Imelda Llantero 3145 Kalihi St., #A 808-841-2614 The following providers have changed their provider type from Skilled Nursing Facility (SNF) to Intermediate Care Facility (ICF) Services: Liliha Healthcare Center 1814 Liliha St. 808-537-9557 Nuuanu Hale 2900 Pali Hwy. 808-595-6311 6 Kaiser Permanente QUEST Integration Long Term Services and Supports (LTSS) Provider Directory June 2015
ADDITIONS TO GLOSSARY Acute Waitlisted SNF/ICF Acute waitlisted SNF or ICF level of care services provided in an acute care hospital in an acute care hospital bed. Counseling and Training Counseling and training is a service provided to members, families/caregivers, and professional and paraprofessional caregivers on behalf of the member. Counseling and training services may be provided individually or in groups. This service may be provided at the member s residence or an alternative site. Activities include the following: member care training for members, family, and caregivers regarding the nature of the disease and the disease process; methods of transmission and infection control measures; biological, psychological care and special treatment needs/regimens; employer training for consumer directed services; instruction about the treatment regimens; use of equipment specified in the service plan; employer skills updates as necessary to safely maintain the individual at home; crisis intervention; supportive counseling; family therapy; suicide risk assessments and intervention; death and dying counseling; anticipatory grief counseling; substance abuse counseling; and/or nutritional assessment and counseling on coping skills to deal with the stress caused by member s deteriorating functional, medical, or mental status. Environmental Accessibility Adaptations (EAA) Physical adaptations to the home needed to ensure the health, welfare, and safety of the member, allowing member to stay at home as much as possible. Home Maintenance To maintain a safe and clean environment, services may include heavy-duty cleaning, minor repairs to essential appliances, and fumigation or extermination services. Moving Assistance Moving assistance can be provided in rare cases that members need to move to a new home (e.g., unsafe deteriorating home, member is evicted from current home, member is not able to afford home due to a rent increase, or a wheelchair bound member living on the first floor of a multi-story building without elevator.) Non-Medical Transportation In addition to medical transportation, non-medical transportation is a service offered so that individuals can have access to community services, activities, and resources specified by the service plan. This service is to be used only when transportation is not included in the HCBS service being accessed. Personal Care Assistance I and II Level I service are provided to members who are not living with their family and may need help with their daily activities. Level I services include: companion services such as meal prep, laundry, and errands; and homemaker/chore services such as routine housecleaning, care of clothing and linen, shopping, and yard work. Level II services are provided to members needing moderate to total assistance with activities of daily living and health maintenance activities. Services are provided by Home Health Aide, Personal Care Aide, Certified Nurse Aide or Nurse Aide with applicable skills competency. Subacute Facility Services Services provided in either a licensed nursing facility or licensed and certified hospital. Provides the member with services that meet a level of care that is needed by the member not requiring acute care, but who needs more intensive skilled nursing care than most skilled nursing facilities provide. Visit us at kpquest.org 7