Humble Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HUMBLE RECOVERY

Practice address

1156 Aldrich Ave N
Minneapolis, MN 55411-4248

Phone

(763) 807-0614

NPI assigned

Mar 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeanette Sledge

Title

Co-Owner

Phone

(763) 807-0614

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1093340036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 ALDRICH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114248",
            "telephone_number": "763-807-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 ALDRICH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114248",
            "telephone_number": "763-807-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "SLEDGE",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-807-0614"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney L Hulsebusch, APRN, CRNA
• Samantha Kay Hult, NP
• Human Care Medical Supply Inc
• Human Connect Services LLC
• Rebecca Ann Humbert
• Kelly C Humble, LICSW
• Carol Lynn Hume, L,AC.
• Janet Hume, MD
• Darryl Michael Humenny, D.C.
• Filestea Humes

• Substance Use Disorder Rehabilitation Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.