Provider Demographics
NPI:1568171346
Name:HUMANE CARE RESIDENTIAL HOMES LLC
Entity Type:Organization
Organization Name:HUMANE CARE RESIDENTIAL HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PRISCAH
Authorized Official - Middle Name:SARAH
Authorized Official - Last Name:NYAANGA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:804-908-0798
Mailing Address - Street 1:9006 CELESTIAL LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7586
Mailing Address - Country:US
Mailing Address - Phone:804-716-7244
Mailing Address - Fax:
Practice Address - Street 1:9006 CELESTIAL LN
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7586
Practice Address - Country:US
Practice Address - Phone:804-716-7244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities