Active NPI
Arveal Hawkins
- Community Health Worker
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630 - Phone
- (951) 587-4165
- Fax
- (951) 384-0544
- NPI assigned
- Sep 7, 2023
- Last updated
- Jun 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Chore Provider | 372500000X | CA | ||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630
Mailing address
24135 Hibiscus LN
Lake Elsinore, CA 92532-2716
Phone (951) 852-1516
Other practice location 1
24135 Hibiscus Ln
Lake Elsinore, CA 92532-2716
Phone (951) 852-1516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koinonia Foster Homes, Inc. | Current | Accepting new patients | |
| Ever Ready Home Care Service LLC | Peer Specialist | Current | Accepting new patients |
| Koinonia Foster Homes Inc | Community Health Worker | Current | Accepting new patients |
Locations
41689 Enterprise Cir N
Ste 120
Temecula, CA 92590
Phone (951) 587-4165
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- In Home Supportive Care Agency
- Lake Elsinore, CA
- NPI 1710603972
Peer Specialist
-
- Community Health Worker
- Lake Elsinore, CA
- NPI 1740022334
-
dba Koinonia Family Services
- Community/Behavioral Health Agency
- Temecula, CA
- NPI 1467995738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1679359269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24135 HIBISCUS LN",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925322716",
"telephone_number": "951-852-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41689 ENTERPRISE CIR N STE 120",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905630",
"telephone_number": "951-587-4165",
"fax_number": "951-384-0544"
}
],
"practiceLocations": [
{
"address_1": "24135 Hibiscus Ln",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925322716",
"country_code": "US",
"telephone_number": "951-852-1516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "ARVEAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.