Provider Demographics
NPI:1982266748
Name:HUMBLE BEGINNINGS ASSISTED CARE SERVICES, LLC
Entity Type:Organization
Organization Name:HUMBLE BEGINNINGS ASSISTED CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-579-5050
Mailing Address - Street 1:1921 N RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:LA
Mailing Address - Zip Code:71001-3423
Mailing Address - Country:US
Mailing Address - Phone:318-579-5050
Mailing Address - Fax:318-579-5075
Practice Address - Street 1:1921 N RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-3423
Practice Address - Country:US
Practice Address - Phone:318-579-5050
Practice Address - Fax:318-579-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty