Provider Demographics
NPI:1134668437
Name:HUMBLE BEGINNINGS PERSONAL CARE
Entity Type:Organization
Organization Name:HUMBLE BEGINNINGS PERSONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:KOLLAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-735-4072
Mailing Address - Street 1:311 FREY DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7333
Mailing Address - Country:US
Mailing Address - Phone:724-934-5418
Mailing Address - Fax:724-935-5418
Practice Address - Street 1:311 FREY DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7333
Practice Address - Country:US
Practice Address - Phone:724-934-5418
Practice Address - Fax:724-935-5418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care