Provider Demographics
NPI:1639591282
Name:HUMBLE & HEALING CARE SERVICES INC.
Entity type:Organization
Organization Name:HUMBLE & HEALING CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:631-813-7076
Mailing Address - Street 1:344 BEACH 88TH ST
Mailing Address - Street 2:A
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-1421
Mailing Address - Country:US
Mailing Address - Phone:631-813-7076
Mailing Address - Fax:718-318-2313
Practice Address - Street 1:344 BEACH 88TH ST
Practice Address - Street 2:A
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-1421
Practice Address - Country:US
Practice Address - Phone:631-813-7076
Practice Address - Fax:718-318-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280665251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health