Carehalo West LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAREHALO WEST LLC

Doing business as

CareHalo

Practice address

4348 Waialae Ave # 701
Honolulu, HI 96816-5767

Phone

(770) 364-2184

NPI assigned

Oct 8, 2020

Last updated

Oct 28, 2020By 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

Tamika Goins

Title

Managing Member

Phone

(770) 364-2184

Specialties & licenses 1

Addresses

Other names 1

• CareHalo Doing business as

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1770180010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 DALLAS HWY STE 200-243",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276318",
            "telephone_number": "770-364-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE # 701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "770-364-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHALO WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-364-2184"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareHalo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareHalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richelle Miki Cardwell, PHARM D.
• Care Hawaii, Inc.
• Care Hawaii, Inc.
• Care Hawaii, Inc.
• Care Hawaii, Inc.
• Caremark LLC (Caremark Hawaii Mail Pharmacy, LLC dba CVS Caremark)
• Careresource Hawaii
• Careresource Hawaii
• Careresource Hawaii
• Michael Carethers, MD

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.