1447981741 NPI number — URBAN BABY BEGINNINGS

Table of content: (NPI 1447981741)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447981741 NPI number — URBAN BABY BEGINNINGS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
URBAN BABY BEGINNINGS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447981741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
880 N MILITARY HWY STE 1000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORFOLK
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23502-3794
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
833-782-2229
Provider Business Mailing Address Fax Number:
833-782-2229

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
880 N MILITARY HWY STE 1000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23502-3794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-782-2229
Provider Business Practice Location Address Fax Number:
833-782-2229
Provider Enumeration Date:
06/19/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SPENCER
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
321-333-2535

Provider Taxonomy Codes

  • Taxonomy code: 163WC0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WL0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 374J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000 . This is a "NONE" identifier . This identifiers is of the category "OTHER".