MAD RIVER COMMUNITY HOSPITAL HOME CARE SERVICE
NPI 1750305371
Home Health in Arcata, CA

Active since July 27, 2006CLIA 05D0869082 · Waiver
4605 VALLEY WEST BLVD, ARCATA, CA 95521(707) 826-8420(707) 826-8428 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mad River Community Hospital Home Care Service NPPES

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

MAD RIVER COMMUNITY HOSPITAL HOME CARE SERVICE (NPI 1750305371) is a healthcare organization registered as a home health in Arcata, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Douglas Allen Shaw, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1750305371
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameAMERICAN HOSPITAL MANAGEMENT CORPORATION
Location Address4605 VALLEY WEST BLVDArcata, CA 95521-4635
Mailing AddressPo Box 1115Arcata, CA 95518-1115 · (707) 826-8420 · Fax (707) 826-8428
Fax(707) 826-8428
Organization SubpartYes
Authorized OfficialDouglas Allen ShawChief Executive Officer · (707) 822-7220
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 20, 2019
NPI 1750305371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in CA · 010000166
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.
4605 VALLEY WEST BLVD, Arcata, CA 95521

Other Names 1

Doing Business AsMad River Community Hospital Home Care Service

Other Identifiers 3

Other057524CA · Blue Cross Of California
MedicaidHHA70137FCA
OtherZZZ97638ZCA · Blue Shield Of California

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 05D0869082

Mad River Community Hospital Home · Arcata, CA
Active · expires Aug 31, 2026
CLIA Number05D0869082
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStefan Schunk
Laboratory Phone(707) 826-8420
Laboratory LocationMad River Community Hospital Home4605 Valley West Boulevard, Arcata, CA 95521
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physical Therapist
4605 VALLEY WEST BLVD
ARCATA, CA 95521

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 American Hospital Management Corporation's NPI number?

The NPI number for American Hospital Management Corporation is 1750305371. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Mad River Community Hospital Home Care Service.

Where is American Hospital Management Corporation located?

American Hospital Management Corporation is located at 4605 Valley West Blvd, Arcata, CA 95521. The listed phone number is (707) 826-8420.

What is American Hospital Management Corporation's specialty?

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

Does American Hospital Management Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0869082) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for American Hospital Management Corporation was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.