=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821455221
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUMBLE HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/15/2016
-----------------------------------------------------
Last Update Date | 11/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9894 BISSONNET ST STE 455
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-8243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-367-8828
-----------------------------------------------------
Fax | 346-444-6531
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9894 BISSONNET ST # 100I
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77036-8239
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-367-8828
-----------------------------------------------------
Fax | 346-444-6531
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | EVALONIA CHIKA BANKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-367-8828
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number | 017468
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------