Organization Active NPI

Humble Haven

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1467325209
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HUMBLE HAVEN
Practice address
3030 Greenmount Ave Ste 3003030
Baltimore, MD 21218-4991
Phone
(443) 373-3393
NPI assigned
Sep 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Jordan Clarke
Title
Executive
Phone
(443) 378-3393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3030 Greenmount Ave Ste 3003030
Baltimore, MD 21218-4991

Mailing address

3030 Greenmount Ave Ste 3003030 Greenmount Ave Ste 300
733300
Baltimore, MD 21218

National Provider Directory

National Provider Directory

Locations

3030 Greenmount Ave
Ste 3003030
Baltimore, MD 21218
Phone (443) 373-3393

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1467325209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 3003030 GREENMOUNT AVE STE 300",
            "address_2": "733300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 GREENMOUNT AVE STE 3003030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184991",
            "telephone_number": "443-373-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "443-378-3393"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.