CP Humboldt N-Ca HH, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CP HUMBOLDT N-CA HH, LLC

Doing business as

Providence at Home with Compassus Home Health, Humboldt

Practice address

2127 Harrison Ave Ste 3
Eureka, CA 95501-3241

Phone

(707) 443-9332

NPI assigned

Oct 29, 2024

Last updated

Oct 29, 2024By 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

Terri Warren

Title

Chief Executive Officer

Phone

(310) 480-2982

Specialties & licenses 1

Addresses

Other names 1

• Providence at Home with Compassus Home Health, Humboldt Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1689496887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 HARRISON AVE STE 3",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 HARRISON AVE STE 3",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013241",
            "telephone_number": "707-443-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP HUMBOLDT N-CA HH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-480-2982"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Health, Humboldt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristen Cowan, RN
• Rachel Cox
• Aaron Coyle
• Casey Crabb
• Lisa Michelle Crabtree, DO
• Sarah Joi Craft, PA
• Teresa Renee Crandall
• Evangeline Crawford

• Home Health Agency in Eureka, CA
• Providers in Eureka, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.