AMERICAN HOSPITAL MANAGEMENT CORPORATION (NPI# 1750305371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750305371 |
| Entity Type | Organization |
| Organization Name | AMERICAN HOSPITAL MANAGEMENT CORPORATION |
| Other Organization Name | MAD RIVER COMMUNITY HOSPITAL HOME CARE SERVICE |
| Practice Address |
4605 Valley West Blvd Arcata CA 95521-4635 |
| Mailing Address |
Po Box 1115 Arcata CA 95518-1115 |
| Practice Telephone | 7078268420 |
| Practice Fax Number | 7078268428 |
| Mailing Telephone | 7078268420 |
| Mailing Fax Number | 7078268428 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | DOUGLAS ALLEN SHAW (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7078227220 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERICAN HOSPITAL MANAGEMENT CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 010000166 | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS OF CALIFORNIA | 057524 | 01 |
| CA | HHA70137F | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ97638Z | 01 |
| Other Name | Type Code |
|---|---|
| Mad River Community Hospital Home Care Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609979707 | American Hospital Management Corporation | Clinic/Center | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-09-06 |
| 1518996040 | American Hospital Management Corporation | General Acute Care Hospital | 3800 Janes Rd, Arcata, CA 95521-4742 | 2006-06-30 |
| Street Address |
4605 VALLEY WEST BLVD |
| City | ARCATA |
| State | CA |
| Zip Code | 95521-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553736 | Mcc Medical, LLC | Durable Medical Equipment & Medical Supplies | Mcc Medical, LLC, 1565 J Street, Arcata, CA 95521 | 2019-08-16 |
| 1376008599 | Nathan Klier | Behavior Technician | 901 Ost, Arcata, CA 95521 | 2019-02-01 |
| 1740753995 | Maria Sophia Stathos | Behavior Technician | 901 0 Street, Suite C, Arcata, CA 95521 | 2019-01-09 |
| 1639674146 | Choong Yuk Kim | Psychologist | 381 Bayside Rd Ste B, Arcata, CA 95521 | 2018-03-27 |
| 1194089805 | Gary Wilson Barsuaskas | Nurse Practitioner | 4677 Valley West Blvd., Arcata, CA 95521 | 2012-06-27 |
| 1265708424 | Alison Marie Palacios | Family Medicine | 3798 Janes Rd. Suite 10, Arcata, CA 95521 | 2012-03-31 |
| 1538434857 | Kristen Noell Kelley | Behavioral Analyst | 901 O Street, Suite C, Arcata, CA 95521 | 2012-03-20 |
| 1518241264 | Brian D. Lieberman | Psychologist | 730 Bayside Rd, Apt A, Arcata, CA 95521 | 2011-09-29 |
| 1427369412 | John S Yamas | Acupuncturist | 1460 G. Street, Arcata, CA 95521 | 2010-06-24 |
| 1669619391 | Kevin John Mcalerney | Massage Therapist | 770 11th Street, Lost Coast Healing Arts, Arcata, CA 95521 | 2009-01-16 |
| Find all providers in zip 95521 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1316548225 | Natalie Deanne Moreno | Home Health | 42 W Campbell Ave Ste 101, Campbell, CA 95008-1042 | 2020-11-06 |
| 1174124994 | Soul Care Home Health | Home Health | 21243 Ventura Blvd Ste 235, Woodland Hills, CA 91364-2113 | 2020-11-06 |
| 1942801840 | Integrated Home Health Care Inc | Home Health | 6354 Van Nuys Blvd Ste 101, Van Nuys, CA 91401-2601 | 2020-11-06 |
| 1265033062 | Cityrose Home Health Services Inc. | Home Health | 2107 W Manchester Ave Ste 206, Los Angeles, CA 90047-2953 | 2020-11-06 |
| 1588265441 | Tender Home Health | Home Health | 17031 Chatsworth St Ste 201, Granada Hills, CA 91344-5883 | 2020-11-05 |
| 1417558644 | Assure Home Health Care | Home Health | 217 N Verdugo Rd Apt D, Glendale, CA 91206-5237 | 2020-11-04 |
| 1467053579 | Renewed Home Health, Inc. | Home Health | 1965 Yosemite Drive #110, Simi Valley, CA 93063 | 2020-11-04 |
| 1184225203 | Burbank City Home Health, Inc | Home Health | 2000 W Magnolia Blvd Ste 205, Burbank, CA 91506-1707 | 2020-11-04 |
| 1851992267 | Galaxy Home Health | Home Health | 13647 Vanowen St Ste C, Van Nuys, CA 91405-4262 | 2020-11-03 |
| 1053912436 | Adonai Home Health Care | Home Health | 1010 N Central Ave # 410, Glendale, CA 91202-2937 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.