HOSPICE OF HUMBOLDT INC. NPI 1114392065

NPI Information

NPI: 1114392065
Provider Name: HOSPICE OF HUMBOLDT, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
3327 TIMBER FALL CT
EUREKA, CA
ZIP 95503
Phone: (707) 445-8443
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HOSPICE OF HUMBOLDT, INC. is a hospice care community based in Eureka, CA. HOSPICE OF HUMBOLDT, INC. NPI is 1114392065. The provider is registered as an organization entity type.

The provider's business location address is:

3327 TIMBER FALL CT
EUREKA, CA
ZIP 95503-894
Phone: (707) 445-8443
Fax: (707) 445-2209

The provider's authorized official is Dianne Keating Vallee .
The authorized official title is Director Of Finance and has the following contact phone number (707) 445-8443.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		100000737	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPC01536F	MEDICAID	CALIFORNIA
2	051536	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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