Provider Demographics
NPI:1649061052
Name:HUMBLE BEGINNINGS COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:HUMBLE BEGINNINGS COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TANESE
Authorized Official - Middle Name:LATOYA
Authorized Official - Last Name:TALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS
Authorized Official - Phone:347-656-4090
Mailing Address - Street 1:34 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:PORT JERVIS
Mailing Address - State:NY
Mailing Address - Zip Code:12771-2057
Mailing Address - Country:US
Mailing Address - Phone:347-656-4090
Mailing Address - Fax:
Practice Address - Street 1:34 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PORT JERVIS
Practice Address - State:NY
Practice Address - Zip Code:12771-2057
Practice Address - Country:US
Practice Address - Phone:347-656-4090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No252Y00000XAgenciesEarly Intervention Provider Agency
No385H00000XRespite Care FacilityRespite Care
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child