NPIMap

Organization Active NPI

HSRC

  • Case Management Agency
  • Eureka, CA
National Provider Identifier
1548681570
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HSRC
Practice address
1901 California St
Eureka, CA 95501-2809
Phone
(707) 443-9747
Fax
(707) 443-3498
NPI assigned
Dec 17, 2013
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Ms. Joyce A Hayes, RDMS
Title
Executive Officer
Phone
(707) 443-9747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1901 California St
Eureka, CA 95501-2809

Mailing address

1910 California St
Eureka, CA 95501-2870
Phone (707) 443-9747

Other identifiers 3

IdentifierTypeStateIssuer
1649607664MedicaidCA
MSS00009FMedicaidCA
1164644746MedicaidCA

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.

Locations

1901 California St
Eureka, CA 95501
Phone (707) 443-9747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1548681570",
    "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": "955012870",
            "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": "1901 CALIFORNIA ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012809",
            "telephone_number": "707-443-9747",
            "fax_number": "707-443-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSRC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-443-9747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649607664",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSS00009F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164644746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 2013; 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.