Active NPI
Humble Haven
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Baltimore, MD
National Provider Identifier
1467325209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.