Provider Demographics
NPI:1326207887
Name:HUMANE HOME HEALTH SERVICES INCORPORATED
Entity Type:Organization
Organization Name:HUMANE HOME HEALTH SERVICES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:O
Authorized Official - Last Name:UDEME
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-586-7309
Mailing Address - Street 1:P.O. BOX 740634
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-9998
Mailing Address - Country:US
Mailing Address - Phone:214-586-7309
Mailing Address - Fax:469-342-8018
Practice Address - Street 1:9241 LYNDON B. JOHNSON FREEWAY
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-3447
Practice Address - Country:US
Practice Address - Phone:214-586-7309
Practice Address - Fax:469-342-8018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 3747P1801X
TX012295251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747540OtherPALMETTO GA