Organization Active NPI

Humboldt Human Development SVS

  • Respite Care
  • Winnemucca, NV
National Provider Identifier
1003276692
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
HUMBOLDT HUMAN DEVELOPMENT SVS
Practice address
307 E 4TH St
Winnemucca, NV 89445-2823
Phone
(775) 625-3939
NPI assigned
Feb 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan Swensen
Title
Ceo
Phone
(916) 751-9280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

307 E 4TH St
Winnemucca, NV 89445-2823

Mailing address

PO Box 131
Winnemucca, NV 89446-0131
Phone (775) 625-3939

Other identifiers 1

IdentifierTypeStateIssuer
9005038433MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1003276692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894460131",
            "telephone_number": "775-625-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 4TH ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894452823",
            "telephone_number": "775-625-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT HUMAN DEVELOPMENT SVS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SWENSEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-751-9280"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005038433",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.