Provider Demographics
NPI:1881257749
Name:HUMANITY HOME HEALTH LLC
Entity type:Organization
Organization Name:HUMANITY HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LONDONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-467-7051
Mailing Address - Street 1:15046 CARROLLTON BLVD.
Mailing Address - Street 2:STE G
Mailing Address - City:CARROLLTON
Mailing Address - State:VA
Mailing Address - Zip Code:23314
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15046 CARROLLTON BLVD.
Practice Address - Street 2:STE G
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314
Practice Address - Country:US
Practice Address - Phone:305-467-7051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health