Provider Demographics
NPI:1548497563
Name:HUMBLE HEARTS INC.
Entity type:Organization
Organization Name:HUMBLE HEARTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-470-3154
Mailing Address - Street 1:1784 295TH ST
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:IA
Mailing Address - Zip Code:52619-9628
Mailing Address - Country:US
Mailing Address - Phone:319-470-3154
Mailing Address - Fax:319-463-7450
Practice Address - Street 1:1784 295TH ST
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:IA
Practice Address - Zip Code:52619-9628
Practice Address - Country:US
Practice Address - Phone:319-470-3154
Practice Address - Fax:319-463-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child