Bannan Enterprise LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BANNAN ENTERPRISE LLC

Doing business as

Heart Horses

Practice address

59-777 Pupukea Rd
Haleiwa, HI 96712-9560

Phone

(808) 388-4974

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonja Christine Bigalke-Bannan, LCSWNPI 1730797606

Title

Owner

Phone

(808) 388-4974

Specialties & licenses 1

Addresses

Other names 1

• Heart Horses Doing business as

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.

• Sonja Christine Bigalke-Bannan, LCSW

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1730797606
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1578136586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 PUOWAINA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131732",
            "telephone_number": "808-388-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59-777 PUPUKEA RD",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967129560",
            "telephone_number": "808-388-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANNAN ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "BIGALKE-BANNAN",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-388-4974",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Horses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Haleiwa, HI
• Providers in Haleiwa, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.