HUMBOLDT SENIOR RESOURCE CENTER (NPI# 1164644746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164644746 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT SENIOR RESOURCE CENTER |
| Other Organization Name | EUREKA ADULT DAY HEALTH CARE |
| Practice Address |
1910 California St. Eureka CA 95501 |
| Practice Telephone | 7074448254 |
| Mailing Telephone | 7074448254 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARGARET KRAFT (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7074448254 |
| Authorized Official Credential | M.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ADU70031F | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ADU70031F | 05 |
| Other Name | Type Code |
|---|---|
| Eureka Adult Day Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750503348 | Humboldt Senior Resource Center | Clinic/Center | 3200 Newburg Road, Fortuna, CA 95540-2511 | 2007-05-03 |
| 1356599278 | Humboldt Senior Resource Center | Case Management | 1910 California St, Eureka, CA 95501-2870 | 2008-09-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HUMBOLDT SENIOR RESOURCE CENTER, INC | 1910 California St, Eureka, CA 95501-2870 |
| Street Address |
1910 CALIFORNIA ST. |
| City | EUREKA |
| State | CA |
| Zip Code | 95501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1881291326 | Comfort Care Adult Day Health Care Center Inc. | Clinic/Center | 3401 Rio Hondo Ave, El Monte, CA 91731-2919 | 2020-10-07 |
| 1972114890 | Square Health, LLC | Clinic/Center | 17057 Foothill Blvd Ste 101, Fontana, CA 92335-3574 | 2020-08-13 |
| 1598375172 | Oc Health, Inc. | Clinic/Center | 319 E Ball Rd, Anaheim, CA 92805-6313 | 2020-08-07 |
| 1023626058 | Sk Health LLC | Clinic/Center | 14619 S Western Ave, Gardena, CA 90249-3305 | 2020-07-15 |
| 1790393718 | Angeles Del Sol Adhc, LLC | Clinic/Center | 820 N Diamond Bar Blvd, Diamond Bar, CA 91765-1039 | 2020-07-15 |
| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
| 1952937203 | Golden Life Adult Day Care Services, Inc | Clinic/Center | 15541 Ashley Ave, Westminster, CA 92683-6901 | 2020-03-19 |
| 1326674672 | Royal Care Adult Day Health Care, Inc | Clinic/Center | 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 | 2020-03-19 |
| 1780210476 | Unique Adult Day Healthcare Inc. | Clinic/Center | 14127 S Tajauta Ave, Compton, CA 90222-3729 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.