NPIMap

Organization Active NPI

Humboldt Senior Resource Center, Incorporated

Doing business as Adult Day Health & Alzheimer's Services

  • Adult Day Care Clinic/Center
  • Eureka, CA
National Provider Identifier
1164644746
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADU70031F Issued in CA
Legal business name
HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED
Doing business as
Adult Day Health & Alzheimer's Services
Practice address
1910 California St.
Eureka, CA 95501
Phone
(707) 443-9747
Fax
(707) 443-3498
NPI assigned
May 3, 2007
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Melissa Hooven
Title
Chief Executive Officer
Phone
(707) 443-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADU70031F CA Primary

Addresses

Primary practice location

1910 California St.
Eureka, CA 95501

Mailing address

1910 California St.
Eureka, CA 95501
Phone (707) 443-9747

Other identifiers 1

IdentifierTypeStateIssuer
ADU70031FMedicaidCA

Other names 1

  • Adult Day Health & Alzheimer's Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humboldt Senior Resource Center Incorporated4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1164644746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CALIFORNIA ST.",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-9747",
            "fax_number": "707-443-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CALIFORNIA ST.",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-443-9747",
            "fax_number": "707-443-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "HOOVEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-443-9747"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "ADU70031F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70031F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Health & Alzheimer's Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.