Organization Active NPI

Hawaii Behavioral Health

  • In Home Supportive Care Agency
  • Hilo, HI
National Provider Identifier
1225372840
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAWAII BEHAVIORAL HEALTH
Practice address
200 Kanoelehua Ave
Suite 103
Hilo, HI 96720-4648
Phone
(808) 895-5603
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sara Petrina Joy MelendezNPI 1033455597
Title
Therapist
Phone
(808) 895-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

200 Kanoelehua Ave
Suite 103
Hilo, HI 96720-4648

Mailing address

200 Kanoelehua Ave
Suite 103
Hilo, HI 96720-4648

National Provider Directory

National Provider Directory

Locations

200 Kanoelehua Ave
Ste 103
Hilo, HI 96720
Phone (808) 895-5603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1225372840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KANOELEHUA AVE",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KANOELEHUA AVE",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204648",
            "telephone_number": "808-895-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "PETRINA JOY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "808-895-5603"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.