MEDICARE: HUMBLE HOME HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1144099664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMBLE HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 275
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:	248-866-8745
Fax Number	:	248-847-2092

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 275
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5285
Country	:	US
Telephone Number	:	248-866-8745
Fax Number	:	248-847-2092

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SALEEM SHAKOOR
Credential	:
Telephone Number	:	248-866-8745

Provider Enumeration Date	:	12/26/2023
Last Update Date	:	12/26/2023

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