Organization Active NPI

Humble Hearts Residential Services LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Painesville, OH
National Provider Identifier
1811799513
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HUMBLE HEARTS RESIDENTIAL SERVICES LLC
Practice address
433 Community LN
Painesville, OH 44077-3000
Phone
(216) 403-1861
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Shanethia MoselyNPI 1386359289
Title
Owner
Phone
(216) 403-1861

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

433 Community LN
Painesville, OH 44077-3000

Mailing address

433 Community LN
Painesville, OH 44077-3000
Phone (216) 403-1861

Other names 1

  • Humble Hearts Residential Services LLC Former legal business name

National Provider Directory

National Provider Directory

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": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1811799513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 COMMUNITY LN",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773000",
            "telephone_number": "216-403-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 COMMUNITY LN",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773000",
            "telephone_number": "216-403-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HEARTS RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "MOSELY",
        "authorized_official_first_name": "SHANETHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-403-1861"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humble Hearts Residential Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.