Provider Demographics
NPI:1851383160
Name:HEALING JOURNEY, LLC
Entity Type:Organization
Organization Name:HEALING JOURNEY, LLC
Other - Org Name:FAMILY CHIROPRACTIC CENTER AND WINDWARD THERAPEUTIC MASSAGE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:STARLA
Authorized Official - Middle Name:L
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-235-6677
Mailing Address - Street 1:45-1144 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3244
Mailing Address - Country:US
Mailing Address - Phone:808-235-6677
Mailing Address - Fax:808-236-0844
Practice Address - Street 1:45-1144 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3244
Practice Address - Country:US
Practice Address - Phone:808-235-6677
Practice Address - Fax:808-236-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC420111N00000X
HIMAE 1745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIF0098993OtherHMSA
HI990321516-49OtherUNIVERSITY HEALTH ALLIANC
HIH54901Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #
HIF0098993OtherHMSA
HIH54897Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER