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HUMBLE BEGINNINGS RECOVERY LLC
NPI 1487387619
Substance Abuse Rehabilitation Facility in Baltimore, MD

Active since July 06, 2022CLIA 21D2273817 · Waiver
4515 BOWLEYS LN, BALTIMORE, MD 21206(443) 707-5558(833) 301-1994 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Humble Beginnings Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMBLE BEGINNINGS RECOVERY LLC (NPI 1487387619) is a healthcare organization registered as a substance abuse rehabilitation facility in Baltimore, Maryland and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Jesse Waterman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1487387619
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHUMBLE BEGINNINGS RECOVERY LLC
Location Address4515 BOWLEYS LNBaltimore, MD 21206-6641
Mailing Address1103 Walnut Wood RdHunt Valley, MD 21030-5403 · (443) 971-1451
Phone(443) 707-5558
Fax(833) 301-1994
Organization SubpartYes
Authorized OfficialJesse WatermanCo-owner · (443) 971-1451
Enumeration DateJuly 6, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1487387619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
4515 BOWLEYS LN, Baltimore, MD 21206
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Other Names 1

Doing Business AsHumble Beginnings Recovery Llc

Other Identifiers 1

Medicaid1588246995MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2273817

Humble Beginnings Recovery LLC · Baltimore, MD
Active · expires Dec 19, 2026
CLIA Number21D2273817
Laboratory TypeAsam Residentrial Tx
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorJesse Waterman
Laboratory Phone(443) 707-5558
Laboratory LocationHumble Beginnings Recovery LLC3935 Southern Ave, Baltimore, MD 21206
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Humble Beginnings Recovery LLC's NPI number?

The NPI number for Humble Beginnings Recovery LLC is 1487387619. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Humble Beginnings Recovery LLC located?

Humble Beginnings Recovery LLC is located at 4515 Bowleys Ln, Baltimore, MD 21206. The listed phone number is (443) 707-5558.

What is Humble Beginnings Recovery LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Humble Beginnings Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2273817) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Humble Beginnings Recovery LLC was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.