Provider Demographics
NPI:1275390437
Name:HUMBLE HOMECARE
Entity Type:Organization
Organization Name:HUMBLE HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANYASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-450-9887
Mailing Address - Street 1:600 LIBERTY RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27263-2426
Mailing Address - Country:US
Mailing Address - Phone:336-210-4539
Mailing Address - Fax:
Practice Address - Street 1:600 LIBERTY RD UNIT B
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27263-2426
Practice Address - Country:US
Practice Address - Phone:336-450-9887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health