NPIMap

Organization Active NPI

Community Mental Health Center Clubhouse-Hale O'Luea

  • Community/Behavioral Health Agency
  • Hilo, HI
National Provider Identifier
1689857575
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-HALE O'LUEA
Practice address
1045 B Kilauea Ave
Hilo, HI 96720
Phone
(808) 974-4320
NPI assigned
Dec 13, 2007
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Raquel B. Nakahara
Title
Financial Resource Specialist
Phone
(808) 586-8276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1045 B Kilauea Ave
Hilo, HI 96720

Mailing address

1250 Punchbowl St
RM 256
Honolulu, HI 96813-2416

Other identifiers 1

IdentifierTypeStateIssuer
53937221MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health-Hawaii-Developmental Disabilities Division Cmuhawaii105 organizations share this tax ID, including this one
Part of
Dept of Health-Hawaii-Developmental Disabilities Division Cmuhawaii

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1045 Kilauea Ave
Ste B
Hilo, HI 96720
Phone (808) 974-4320

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1689857575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PUNCHBOWL ST",
            "address_2": "RM 256",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 B KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-974-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-HALE O'LUEA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF HEALTH, ADULT MENTAL HEALTH DIVISION",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "NAKAHARA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "FINANCIAL RESOURCE SPECIALIST",
        "authorized_official_telephone_number": "808-586-8276"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53937221",
            "state": "HI"
        }
    ],
    "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 Dec 13, 2007; 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.