Basic Information
| Provider Information | |||||||||
| NPI: | 1679045363 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUMBLE BEGINNINGS ASSISTED CARE SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1564 HAZEL ST | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710014106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3185795105 | ||||||||
| FaxNumber: | 3185795106 | ||||||||
| Practice Location | |||||||||
| Address1: | 1564 HAZEL ST | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | LA | ||||||||
| PostalCode: | 710014106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3185795105 | ||||||||
| FaxNumber: | 3185795106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2018 | ||||||||
| LastUpdateDate: | 01/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | CYNTHIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER, DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 3185795105 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3747A0650X | Y | 193400000X SINGLE SPECIALTY GROUP | Nursing Service Related Providers | Technician | Attendant Care Provider |
No ID Information.