Hospice of Humboldt, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

100000737 Issued in CA

Legal business name

HOSPICE OF HUMBOLDT, INC.

Practice address

3327 Timber Fall CT
Eureka, CA 95503-4894

Phone

(707) 445-8443

Fax

(707) 445-2209

NPI assigned

Dec 3, 2015

Last updated

Dec 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dianne Keating Vallee

Title

Director of Finance

Phone

(707) 445-8443

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hospice of Humboldt Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hospice of Humboldt Inc

  • Community Based Hospice Care Agency
  • Eureka, CA
  • NPI 1619015393
  NPD tax ID

Locations

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1114392065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034894",
            "telephone_number": "707-445-8443",
            "fax_number": "707-445-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 TIMBER FALL CT",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034894",
            "telephone_number": "707-445-8443",
            "fax_number": "707-445-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF HUMBOLDT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "VALLEE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "KEATING",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "707-445-8443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "100000737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01536F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Romualdo Chaingan Honrado
• Sandra Jo Horner
• Robert Todd Horseman, M.D.
• Brittney Hosley
• Hospice of Humboldt Inc
• Hillary Houck
• Shellby House
• Tina Marie Hover, LVN
• Diane Claire Howard, P.T.
• Charnise Howcroft-Chapple, M.A., AMFT

• Community Based Hospice Care Agency in Eureka, CA
• Providers in Eureka, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.