Provider Demographics
NPI:1629956321
Name:HAWKINS COLLECTIVE LLC
Entity type:Organization
Organization Name:HAWKINS COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-600-9288
Mailing Address - Street 1:2230 KOLOMYIA CT
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1378
Mailing Address - Country:US
Mailing Address - Phone:248-600-9288
Mailing Address - Fax:
Practice Address - Street 1:2230 KOLOMYIA CT
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48324-1378
Practice Address - Country:US
Practice Address - Phone:248-600-9288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health