HUMBOLDT SENIOR RESOURCE CENTER (NPI# 1356599278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356599278 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT SENIOR RESOURCE CENTER |
| Practice Address |
1910 California St Eureka CA 95501-2870 |
| Practice Telephone | 7074439747 |
| Practice Fax Number | 7074437277 |
| Mailing Telephone | 7074439747 |
| Mailing Fax Number | 7074437277 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | MR. BARNABAS GRAYDON KEISTER (PROGRAM MANAGER) |
| Authorized Official Telephone | 7074439747 |
| Authorized Official Credential | B.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | ========= | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750503348 | Humboldt Senior Resource Center | Clinic/Center | 3200 Newburg Road, Fortuna, CA 95540-2511 | 2007-05-03 |
| 1164644746 | Humboldt Senior Resource Center | Clinic/Center | 1910 California St., Eureka, CA 95501 | 2007-05-03 |
| 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 | 95501-2870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790881332 | Jennifer Anne Heidmann | Internal Medicine | 1910 California St, Pace Humboldt Resource Center, Eureka, CA 95501 | 2006-09-14 |
| 1003360892 | Thea Jeanne Rowan | Social Worker | 1910 California St, Eureka, CA 95501-2899 | 2016-08-09 |
| 1710277124 | Samantha Day | Counselor | 1910 California St, Eureka, CA 95501-2899 | 2011-04-19 |
| 1063663375 | Livia Lorena Ribeiro | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95501-2870 | 2008-10-06 |
| 1497905582 | Hanell Thompson | Social Worker | 1910 California St, Eureka, CA 95501-2870 | 2008-09-24 |
| 1760667497 | Linda Alm | Registered Nurse | 1910 California St, Eureka, CA 95501-2870 | 2007-12-31 |
| 1508049792 | Kerri Ann Koontz | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95501-2870 | 2007-12-11 |
| 1225211410 | Sharon Lynn Zacher | Case Manager/Care Coordinator | 1910 California St, Eureka, CA 95001-2870 | 2007-12-11 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225405137 | Association for The Developmentally Disabled of Woodford County | Case Management | 200 Moody St, Eureka, IL 61530-1705 | 2015-08-26 |
| 1326305152 | Redwood Community Services, Inc. | Case Management | 310 3rd St, Eureka, CA 95501-0492 | 2012-04-18 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1871046391 | Jaunda Brown | Case Management | 720 Wood St, Eureka, CA 95501 | 2016-08-02 |
| 1548681570 | Hsrc | Case Management | 1901 California St, Eureka, CA 95501-2809 | 2013-12-17 |
| 1912275736 | Humboldt County Probation Department | Case Management | 555 H St, Eureka, CA 95501-1045 | 2011-12-07 |
| 1376869602 | Tri-county Independent Living | Case Management | 2822 Harris St, Eureka, CA 95503-4809 | 2010-04-12 |
| 1659554889 | Humboldt County Probation | Case Management | 2002 Harrison Ave, Eureka, CA 95501-3212 | 2007-12-11 |
| 1972783744 | Humboldt County Probation Department | Case Management | 720 Wood Street, Eureka, CA 95501 | 2007-11-09 |
| 1184827461 | Jeff David Graham | Case Management | 1010 W Henderson St, Eureka, CA 95501-3545 | 2007-06-06 |
| Find all providers in EUREKA | ||||
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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.