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Contact Information

HUMBLE HAVEN
3030 GREENMOUNT AVE STE 3003030
BALTIMORE, MD21218-4991
 Phone: 443-373-3393
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for HUMBLE HAVEN

NPI Number 1467325209
LBN Legal business name HUMBLE HAVEN
Authorized official JORDAN CLARKE - (EXECUTIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2025
Last updated 09/27/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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