ADULT DAY HEALTH & ALZHEIMER'S SERVICES – NPI #1164644746
Clinic/Center

ADULT DAY HEALTH & ALZHEIMER'S SERVICES is an AHC clinic located in EUREKA, CA. NPPES has assigned the NPI number 1164644746 to ADULT DAY HEALTH & ALZHEIMER'S SERVICES on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADULT DAY HEALTH & ALZHEIMER'S SERVICES” is a dba name, the actual legal business name for this organization is HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 5 years ago on Jan 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT DAY HEALTH & ALZHEIMER'S SERVICES below.

NPI Profile for
HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED

NPI Number
1164644746
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HUMBOLDT SENIOR RESOURCE CENTER, INCORPORATED
Doing Business As (dba): ADULT DAY HEALTH & ALZHEIMER'S SERVICES
Primary location
1910 CALIFORNIA ST.
EUREKA, CA 95501
Phone: (707) 443-9747 Fax: (707) 443-3498
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MELISSA HOOVEN
CHIEF EXECUTIVE OFFICER
Phone: (707) 443-9747
Updated
Certification Date
Jan 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADULT DAY HEALTH & ALZHEIMER'S SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAADU70031F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 CA ADU70031F

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.