Humble House

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

BH-3077 Issued in AZ

Legal business name

HUMBLE HOUSE

Practice address

8572 W Palo Verde Ave
Peoria, AZ 85345-5354

Phone

(623) 937-3443

Fax

(623) 337-5523

NPI assigned

Mar 9, 2009

Organization subpart

No

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

Authorized official

Name

Josephine Duah

Title

Assistant Director

Phone

(623) 937-3443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1841431632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8572 W PALO VERDE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455354",
            "telephone_number": "623-937-3443",
            "fax_number": "653-337-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8572 W PALO VERDE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455354",
            "telephone_number": "623-937-3443",
            "fax_number": "623-337-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "DUAH",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "623-937-3443"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AZ",
            "license": "BH-3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delilah Mae Hull, LMSW
• Kyle Steven Hull, PHARMD
• Megan Hull, DPT
• Kimberly A. Hullett, NP
• Humanitarian Transit LLC
• Felicia Anne Humenik
• Wai Yin Hung
• Clayton Lloyd Hunter, DPT
• Jessica Anne Hunter, LPC
• Rebecca Hunter, RN

• Emotionally Disturbed Childrens' Residential Treatment Facility in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.