NPIMap

Organization Active NPI

Humble Haven Care Services, LLC

Doing business as Humble Haven Care Services

  • Home Health Agency
  • Florissant, MO
National Provider Identifier
1306422423
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUMBLE HAVEN CARE SERVICES, LLC
Doing business as
Humble Haven Care Services
Practice address
4669 Richmond Forest Dr
Florissant, MO 63034-2848
Phone
(314) 484-3827
NPI assigned
Mar 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Camille FosterNPI 1770971780
Title
Owner
Phone
(314) 484-3827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4669 Richmond Forest Dr
Florissant, MO 63034-2848

Mailing address

4669 Richmond Forest Dr
Florissant, MO 63034-2848
Phone (314) 484-3827

Other names 1

  • Humble Haven Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Humble Haven Care Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7220 N Lindbergh Blvd
Ste 390
Hazelwood, MO 63042
Phone (314) 484-3827

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1306422423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 RICHMOND FOREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342848",
            "telephone_number": "314-484-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 RICHMOND FOREST DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342848",
            "telephone_number": "314-484-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HAVEN CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-484-3827"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humble Haven Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Humble Haven Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.