HUMBOLDT SENIOR RESOURCE CENTER
NPI: 1750503348
· FORTUNA, CA 95540
· Adult Day Care Clinic/Center
· NPI assigned 05/03/2007
$142K
Total Medicaid Paid
Provider Details
| Authorized Official | HOOVEN, MELISSA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: HOOVEN, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
670 |
$67K |
| 2024 |
751 |
$75K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
1,421 |
121 |
$142K |