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Combined ARCH-Expanded ARCH Vacancy Report-By Alphabetical Order

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Combined ARCH-Expanded ARCH Vacancy Report-By Alphabetical Order Combined ARCH-Expanded ARCH Vacancy Report-By Alphabetical Order FACILITY NAME LICENSEE Facility Type ADDRESS CITY ISLAND PHONE NUMBER LIC NUMBER LIC EXPIRATION M F CAP AMBULATORY TYPE WHC DIET TYPE 3 J's Geronimo Castillo Type I Expanded Adult Residential Care Home 1624 Perry Street Honolulu Oahu 8088486592 1334-C 7/31/2021 2 1 5 Ambulatory Yes Special 808 Adult Residential Care Home/Expanded Care LLC Novelyn Llarenas Type I Expanded Adult Residential Care Home 98-209 Kanuku Street Aiea Oahu 8086999865 1344-C 8/31/2021 0 1 5 Ambulatory Yes Special A & C Care Home Armando Tabile Type I Expanded Adult Residential Care Home 2294 Awapuhi Street Hilo Big Island 8082098308 1554-C 8/31/2021 5 1 5 Ambulatory Yes Special A Better Living Mary Ann McMurray Type I Expanded Adult Residential Care Home 83 Kilani Avenue Wahiawa Oahu 8086218635 1244-C 2/28/2021 4 4 5 Ambulatory Yes Special A.C.T.G. Gallegos IV Teofista Gallegos Type I Expanded Adult Residential Care Home 1530 Piikea Street Honolulu Oahu 8084238808 1341-C 6/30/2021 1 1 5 Ambulatory Yes Special A.M.A. Care Home LLC Abigail Aganon Type I Adult Residential Care Home 94-392 Kahuanani Street Waipahu Oahu 8086765473 1611-C 12/31/2020 5 5 5 Ambulatory No Regular AAA Care Home Melita Manalang Type I Adult Residential Care Home 4368 Laakea Street Honolulu Oahu 8082057131 1606-C 11/30/2020 5 5 5 Fully Ambulatory Yes Regular Abad, Edna Edna Abad Type I Adult Residential Care Home 98-312 Kaluamoi Drive Pearl City Oahu 8084871080 1135-C 7/31/2021 2 0 4 Fully Ambulatory No Special Abbie's Florecita Peralta Type I Expanded Adult Residential Care Home 94-579 Apii Place Waipahu Oahu 8086769349 479-C 8/31/2021 0 1 5 Ambulatory No Special Acedo, Melba Melba Daak Type I Adult Residential Care Home 2501-A Kinoole Street Hilo Big Island 8089812909 714-C 3/31/2021 0 1 4 Ambulatory No Special Acnam's Care Home, LLC Castora Acnam Type I Expanded Adult Residential Care Home 2467 North School Street Honolulu Oahu 8088453589 1041-C 7/31/2021 2 2 5 Ambulatory Yes Special ACTG ARCH #2 Teofista Gallegos Type II Expanded Adult Residential Care Home 1447 Uila Street Honolulu Oahu 8084225888 1205-C 6/30/2021 1 1 8 Ambulatory Yes Special Adult Res Care Home Delia Laurena Type I Expanded Adult Residential Care Home 1654 Hauiki Street Honolulu Oahu 8088459373 1428-C 6/30/2021 2 2 5 Ambulatory Yes Special Agraan, Gliseria Gliseria Agraan Type I Expanded Adult Residential Care Home 94-1266 Hiapo Street Waipahu Oahu 8086761567 1200-C 7/31/2021 3 3 5 Ambulatory Yes Special Aguinaldo, Evangeline Evangeline Aguinaldo Type I Adult Residential Care Home 3787 Mamaki Street Koloa Kauai 8087422044 984-C 5/31/2021 0 0 3 Ambulatory No Special Aguinaldo's Serafina Aguinaldo Type I Expanded Adult Residential Care Home 4406 Likini Street Honolulu Oahu 8084232196 1175-C 11/30/2020 2 2 5 Ambulatory Yes Special Ai ARCH Josephine Harris Type I Expanded Adult Residential Care Home 1329 Ala Aolani Street Honolulu Oahu 8084896453 1369-C 3/31/2021 0 0 5 Ambulatory Yes Special Aida's Zenaida Bautista Type I Expanded Adult Residential Care Home 45-552 Liula Street Kaneohe Oahu 8082351637 640-C 2/28/2021 3 3 5 Ambulatory Yes Special Aiea Heights Senior Living Satoru Izutsu Type II Expanded Adult Residential Care Home 99-1657 Aiea Heights Drive Aiea Oahu 8084885521 112-C 8/31/2021 1 1 22 Fully Ambulatory Yes Special Aina Haina ARCH Lan Chen Type I Expanded Adult Residential Care Home 237 East Hind Drive Honolulu Oahu 8083583354 1456-C 4/30/2021 3 2 5 Ambulatory Yes Special Aina Haina Quality Living Jabs Ryan Type II Expanded Adult Residential Care Home 5304 Limu Place Honolulu Oahu 8083734141 1458-C 11/30/2020 3 2 8 Ambulatory Yes Special Akalei Hale Elisa Villanueva Type I Adult Residential Care Home 61 Hoauna Street Wailuku Maui 8082441381 645-C 1/31/2021 2 2 5 Ambulatory No Special Alaag, L.L.C. ARCH Linda Guting Type I Adult Residential Care Home 94-1032 A Lumikula Street Waipahu Oahu 8086778669 481-C 9/30/2021 1 1 5 Ambulatory No Special Alde Care Home Delia Lampitoc Type I Adult Residential Care Home 94-1475 Hiapo Street Waipahu Oahu 8086710531 1065-C 11/30/2020 1 1 5 Ambulatory No Special Aletha's Expanded ARCH Florence Fayloga Type I Expanded Adult Residential Care Home 99-631 Ulune Street Aiea Oahu 8084871706 1400-C 6/30/2021 2 1 5 Ambulatory Yes Special Alfe Virginia Baptista Type I Expanded Adult Residential Care Home 1464 Puanakau Street Honolulu Oahu 8084228157 1353-C 1/31/2021 1 1 5 Ambulatory Yes Special Alfe II Bernadette Heafner Type I Expanded Adult Residential Care Home 1464 Puanakau Street Honolulu Oahu 8084228568 1425-C 2/28/2021 3 2 5 Ambulatory Yes Special Aliga, Nelly Nelly Aliga Type I Adult Residential Care Home 174 Lukia Street Hilo Big Island 8089356208 1069-C 4/30/2021 0 0 5 Ambulatory Yes Special All Hearts ARCH, L.L.C. Lalaine Rabaino Type I Adult Residential Care Home 328 Hie Street Kapaa Kauai 8088227907 1392-C 4/30/2021 3 2 4 Ambulatory Yes Regular Allcare Senior Services, Inc. Christine Garcia Type I Adult Residential Care Home 94-920 Kumuao Street Waipahu Oahu 8086767018 1602-C 10/31/2020 4 4 4 Fully Ambulatory No Regular Aloha ARCH Marlyn Acuram Type I Expanded Adult Residential Care Home 86-107 Hoaha Street Waianae Oahu 8086962430 1287-C 3/31/2021 0 3 5 Ambulatory Yes Special Aloha Lifeline ARCH/E-ARCH, LLC Romera Jornacion Type I Expanded Adult Residential Care Home 91-983 Ikulani Street Ewa Beach Oahu 8086895031 1418-C 1/31/2021 1 1 5 Ambulatory Yes Special Aloha Nui Care Home LLC Min Hye Takamatsu Type I Expanded Adult Residential Care Home 1662 Hookani Street Pearl City Oahu 8082847978 1585-C 11/30/2020 5 5 5 Ambulatory Yes Special Amodo, Gloria Amodo Gloria Type I Adult Residential Care Home 1437 Ala Leleu Street Honolulu Oahu 8088394107 955-C 2/28/2021 2 0 4 Fully Ambulatory No Special Analani ARCH, L.L.C. Corazon Saludares Type I Adult Residential Care Home 98-137 Kaluamoi Place Pearl City Oahu 8087411770 1533-C 7/31/2021 5 5 5 Ambulatory Yes Special Anastacio, Faye V. Faye Anastacio Type I Adult Residential Care Home 45-507 Kahili Street Honokaa Big Island 8087757324 859-C 12/31/2020 0 0 3 Fully Ambulatory No Special Ancheta, Imelda Imelda Ancheta Type I Expanded Adult Residential Care Home 94-854 Awanei Street Waipahu Oahu 8086777486 1239-C 2/28/2021 1 2 5 Ambulatory Yes Special Angel Home For Seniors Arcelie Cabel Type I Expanded Adult Residential Care Home 1315 Kupau Street Kailua Oahu 8082217766 1395-C 5/31/2021 1 2 5 Ambulatory Yes Special Anne-Drew's Gentle Mary Jeanne Onato Type I Expanded Adult Residential Care Home 94-921 Kahuailani Street Waipahu Oahu 8086783936 1367-C 12/31/2020 1 1 5 Ambulatory Yes Special Annelyn Raval Annelyn Raval Type I Adult Residential Care Home 94-362 Apowale Street Waipahu Oahu 8084977103 844-C 4/30/2021 1 1 5 Ambulatory No Regular Ano Ano, L.L.C. Melton Marc Type I Expanded Adult Residential Care Home 54-2489 Kynnersley Road, Lot C Kapaau Big Island 8088845265 1507-C 11/30/2020 3 3 5 Ambulatory Yes Special Apostol Care Home ARCH Edwin Apostol Type I Expanded Adult Residential Care Home 94-1244 Hinaea Street Waipahu Oahu 8086715217 1466-C 10/31/2021 3 0 5 Ambulatory Yes Special Apuya, Roger Roger Apuya Type I Adult Residential Care Home 2517 Hoenui Street Honolulu Oahu 8088455472 1362-C 10/31/2020 0 0 5 Ambulatory No Special Atanes, Remedios Remedios Atanes Type I Adult Residential Care Home 87-542 Manuu Street Waianae Oahu 8086684214 589-C 8/31/2021 0 0 4 Ambulatory No Special Aumoa Care Home LLC Maria Ross Type I Adult Residential Care Home 98-562 Kaimu Loop Aiea Oahu 8084254962 1598-C 12/31/2020 5 5 5 Ambulatory Yes Regular Aupuni Hale Hoolu, LLC Vilma Yun Type I Expanded Adult Residential Care Home 1805 Aupuni Street Honolulu Oahu 8088412202 1490-C 8/31/2021 4 4 5 Ambulatory Yes Special Aurora Patao ARCH Aurora Patao Type I Expanded Adult Residential Care Home 15-1395 29th Avenue Keaau Big Island 8089666881 1057-C 12/31/2020 0 3 5 Ambulatory Yes Special Aurora's Aurora Alejandro Type I Expanded Adult Residential Care Home 91-1112 Kiwi Street Ewa Beach Oahu 8086895936 1111-C 8/31/2021 0 1 5 Ambulatory No Special Badua, Lily Lily Badua Type I Adult Residential Care Home 260 Ala Malama Avenue Kaunakakai Molokai 8085535581 874-C 11/30/2020 0 0 5 Fully Ambulatory No Special Bala, Leticia Leticia Bala Type I Expanded Adult Residential Care Home 1617 Machado Street Honolulu Oahu 8088430113 731-C 7/31/2021 2 2 5 Ambulatory Yes Special Balico's Leticia Balico Type I Expanded Adult Residential Care Home 91-1204 Kauiki Street Ewa Beach Oahu 8086897494 1388-C 12/31/2020 2 1 5 Ambulatory Yes Special Baptista, Myrna Myrna Baptista Type I Adult Residential Care Home 28-2845 Makahana Street Pepeekeo Big Island 8089873287 576-C 4/30/2021 0 0 3 Ambulatory No Special Bautista, Dolores Dolores Bautista Type I Adult Residential Care Home 1939 Waikahe Place Honolulu Oahu 8088471610 979-C 5/31/2021 0 0 4 Ambulatory No Special Baybayan, Rosita Rosita Baybayan Type I Adult Residential Care Home 91-810 Haiamu Street Ewa Beach Oahu 8086898662 658-C 11/30/2021 1 1 5 Ambulatory Yes Regular Beckwith Manoa Senior Care Beverley Young Type I Adult Residential Care Home 2375 Beckwith Street Honolulu Oahu 8084978489 1548-C 9/30/2021 5 5 5 Fully Ambulatory Yes Special Beltran, Milagros Milagros Beltran Type I Expanded Adult Residential Care Home 94-1382 Henokea Street Waipahu Oahu 8086710354 590-C 9/30/2021 0 0 5 Ambulatory Yes Special Billena, Mathilda Mathilda Billena Type I Adult Residential Care Home 94-1169 Limahana Street Waipahu Oahu 8086710670 569-C 2/28/2021 1 0 5 Ambulatory No Regular Birds of Paradise Home Corp.
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