Healthcare Provider Details

I. General information

NPI: 1528778909
Provider Name (Legal Business Name): HUMBLE HELPINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 E. BROADWAY RD. #105
MESA AZ
85204
US

IV. Provider business mailing address

1320 E BROADWAY RD
MESA AZ
85204-2353
US

V. Phone/Fax

Practice location:
  • Phone: 480-572-1104
  • Fax:
Mailing address:
  • Phone: 480-572-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: LATEKA HAMPTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 415-745-0345