Active NPI
Humboldt Human Development SVS
- Respite Care
- Winnemucca, NV
National Provider Identifier
1003276692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005038433 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI 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.