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CP HUMBOLDT N-CA HH, LLC
NPI 1689496887
Home Health in Eureka, CA

Active since October 29, 2024CLIA 05D0670135 · Waiver
2127 HARRISON AVE STE 3, EUREKA, CA 95501(707) 443-9332 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Cp Humboldt N-ca Hh, Llc NPPES

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

CP HUMBOLDT N-CA HH, LLC (NPI 1689496887), doing business as Providence At Home With Compassus Home Health, Humboldt, is a healthcare organization registered as a home health in Eureka, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Terri Warren, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1689496887
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCP HUMBOLDT N-CA HH, LLC
Location Address2127 HARRISON AVE STE 3Eureka, CA 95501-3241
Mailing Address2127 Harrison Ave Ste 3Eureka, CA 95501-3241
Phone(707) 443-9332
Organization SubpartNo
Authorized OfficialTerri WarrenChief Executive Officer · (310) 480-2982
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1689496887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
2127 HARRISON AVE STE 3, Eureka, CA 95501
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Other Names 1

Doing Business AsProvidence At Home With Compassus Home Health, Humboldt

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 Waiver 05D0670135

Cp Humboldt N-Ca Hh, LLC · Eureka, CA
Active · expires Apr 12, 2027
CLIA Number05D0670135
Laboratory TypeHome Health Agency
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorKiho Woo
Laboratory Phone(707) 440-1880
Laboratory LocationCp Humboldt N-Ca Hh, LLC2127 Harrison Ave Ste 3, Eureka, CA 95501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ROBIN LORRAINE PALMER OTR/L
Occupational Therapist
2127 HARRISON AVE STE 3
EUREKA, CA 95501
Humboldt County (707) 630-2276
STEVEN MOORE REGISTERED NURSE
Registered Nurse
2127 HARRISON AVE STE 3
EUREKA, CA 95501
Humboldt County (707) 443-9332

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 Cp Humboldt N-Ca Hh, LLC's NPI number?

The NPI number for Cp Humboldt N-Ca Hh, LLC is 1689496887. It was assigned to this organization in the NPPES registry on October 29, 2024. The provider is doing business as Providence at Home with Compassus Home Health, Humboldt.

Where is Cp Humboldt N-Ca Hh, LLC located?

Cp Humboldt N-Ca Hh, LLC is located at 2127 Harrison Ave Ste 3, Eureka, CA 95501. The listed phone number is (707) 443-9332.

What is Cp Humboldt N-Ca Hh, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Cp Humboldt N-Ca Hh, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0670135) is associated with this NPI, valid through April 12, 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 Cp Humboldt N-Ca Hh, LLC was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.