Organization Active NPI

Hawaii Holistic Care

  • Acupuncturist
  • Kailua Kona, HI
National Provider Identifier
1578189247
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
HAWAII HOLISTIC CARE
Doing business as
Hawaii Holistic Care
Practice address
75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112
Phone
(808) 769-2263
Fax
(808) 431-3092
NPI assigned
Jun 18, 2020
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Elena Yurievna Kozmidi, LAC., LMT
Title
Owner
Phone
(808) 769-2263

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112

Mailing address

75-127 Lunapule Rd Ste 1a
Kailua Kona, HI 96740-2112
Phone (808) 769-2263

Other names 1

  • Hawaii Holistic Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805003894 HI Part B Supplier - Clinic/Group Practice 3779998182 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory

Locations

75-127 Lunapule Rd
Ste 1A
Kailua Kona, HI 96740
Phone (808) 381-9878

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": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1578189247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD STE 1A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402112",
            "telephone_number": "808-769-2263",
            "fax_number": "808-431-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD STE 1A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402112",
            "telephone_number": "808-769-2263",
            "fax_number": "808-431-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII HOLISTIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "KOZMIDI",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "YURIEVNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-769-2263",
        "authorized_official_credential": "LAC., LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Holistic Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hawaii Holistic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.