Provider Demographics
NPI:1841780327
Name:HUMBLY HELPFUL HOMECARE LLC
Entity Type:Organization
Organization Name:HUMBLY HELPFUL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIAUNNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-952-6287
Mailing Address - Street 1:481 E 128TH ST # UP
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-1833
Mailing Address - Country:US
Mailing Address - Phone:216-952-6287
Mailing Address - Fax:
Practice Address - Street 1:481 E 128TH ST # UP
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-1833
Practice Address - Country:US
Practice Address - Phone:216-952-6287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty