MEDICARE: HUMANE AT HOME HEALTHCARE

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1699620831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANE AT HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	132 N SYCAMORE ST STE 51
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-3262
Country	:	US
Telephone Number	:	804-374-9006
Fax Number	:	804-374-9006

Provider Business Practice Location Address
First Line	:	132 N SYCAMORE ST STE 51
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23803-3262
Country	:	US
Telephone Number	:	804-374-9006
Fax Number	:	804-374-9006

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSAY ANN POOLE
Credential	:
Telephone Number	:	804-306-9735

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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