National Provider Identifier Database

HUMBLE HAVEN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

HUMBLE HAVEN
3030 GREENMOUNT AVE STE 3003030
BALTIMORE, MD21218-4991
Phone: 443-373-3393
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X
Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for HUMBLE HAVEN

NPI Number 1467325209
Legal business name
LBN
HUMBLE HAVEN
Authorized official JORDAN CLARKE - (EXECUTIVE)
Entity Organization
Organization subpart No
Enumeration date 09/27/2025
Last updated 09/27/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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