Organization Active NPI

Awakening Healing Center, LLC

  • Chiropractor
  • Hilo, HI
National Provider Identifier
1700466877
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AWAKENING HEALING CENTER, LLC
Practice address
64 Keawe St Ste 207
Hilo, HI 96720-2486
Phone
(808) 961-6887
Fax
(808) 443-0510
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Coral Vallente
Title
Office Manager
Phone
(808) 280-0608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

64 Keawe St Ste 207
Hilo, HI 96720-2486

Mailing address

64 Keawe St Ste 207
Hilo, HI 96720-2486
Phone (808) 961-6887

Other identifiers 1

IdentifierTypeStateIssuer
000354399OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

64 Keawe St
Ste 207
Hilo, HI 96720
Phone (808) 961-6887

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": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1700466877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 KEAWE ST STE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202486",
            "telephone_number": "808-961-6887",
            "fax_number": "808-443-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 KEAWE ST STE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202486",
            "telephone_number": "808-961-6887",
            "fax_number": "808-443-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "VALLENTE",
        "authorized_official_first_name": "CORAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-280-0608"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "000354399",
            "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 Apr 12, 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.