JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY
NPI 1245458421
Skilled Nursing Facility in Garberville, CA

Active since April 23, 2007CLIA 05D0612023 · Accreditation
733 CEDAR ST, GARBERVILLE, CA 95542(707) 923-3921(707) 923-1456 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2022, Jul 1, 2021, Mar 22, 2016 (3 updates tracked since 2016).

About Jerold Phelps Community Hospital Skilled Nursing Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROLD PHELPS COMMUNITY HOSPITAL SKILLED NURSING FACILITY (NPI 1245458421) is a healthcare organization registered as a skilled nursing facility in Garberville, California and active in the NPI registry since April 2007. The organization holds an CLIA Accreditation certificate valid through January 15, 2027 and lists Matthew E Rees, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245458421
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTHERN HUMBOLDT COMMUNITY HEALTHCARE DISTRICT
Location Address733 CEDAR STGarberville, CA 95542-3201
Mailing Address733 Cedar StGarberville, CA 95542-3201 · (707) 923-3921 · Fax (707) 923-1456
Fax(707) 923-1456
Organization SubpartNo
Authorized OfficialMatthew E ReesAdministrator · (707) 923-3921
Enumeration DateApril 23, 2007
Last NPPES UpdateJanuary 18, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
NPI 1245458421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 110000052
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
733 CEDAR ST, Garberville, CA 95542

Other Names 1

Doing Business AsJerold Phelps Community Hospital Skilled Nursing Facility

Other Identifiers 5

Medicaid272260OR
OtherZZZJ1202ZCA · Blue Shield (hospital)
Medicaid174988AZ
Medicaid3003993WA
OtherLTC55516FCA · Medi-cal Snf

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0612023

Jerold Phelps Community Hospital · Garberville, CA
Active · expires Jan 15, 2027
CLIA Number05D0612023
Laboratory TypeHospital
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Fangluo Liu
Laboratory Phone(707) 923-3921
Laboratory LocationJerold Phelps Community Hospital733 Cedar St, Garberville, CA 95542
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital (Critical Access)
733 CEDAR ST
GARBERVILLE, CA 95542
Physical Therapist
733 CEDAR ST
GARBERVILLE, CA 95542
Nurse Practitioner
733 CEDAR ST
GARBERVILLE, CA 95542
Physician Assistant
733 CEDAR ST
GARBERVILLE, CA 95542
Nurse Practitioner (Family)
733 CEDAR ST
GARBERVILLE, CA 95542
Nurse Practitioner (Family)
733 CEDAR ST
GARBERVILLE, CA 95542
General Acute Care Hospital (Critical Access)
733 CEDAR ST
GARBERVILLE, CA 95542
Occupational Therapist
733 CEDAR ST
GARBERVILLE, CA 95542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Humboldt Community Healthcare District's NPI number?

The NPI number for Southern Humboldt Community Healthcare District is 1245458421. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider is doing business as Jerold Phelps Community Hospital Skilled Nursing Facility.

Where is Southern Humboldt Community Healthcare District located?

Southern Humboldt Community Healthcare District is located at 733 Cedar St, Garberville, CA 95542. The listed phone number is (707) 923-3921.

What is Southern Humboldt Community Healthcare District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Southern Humboldt Community Healthcare District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0612023) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Humboldt Community Healthcare District was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.