1588253934 NPI number — GENTLE SPIRIT HOME BIRTH MIDWIFERY

Table of content: (NPI 1588253934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588253934 NPI number — GENTLE SPIRIT HOME BIRTH MIDWIFERY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENTLE SPIRIT HOME BIRTH MIDWIFERY
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:
1588253934
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 SHARON TOWNSHIP LN APT 504
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28211-4392
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-304-3248
Provider Business Mailing Address Fax Number:
866-308-6063

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2820 SELWYN AVE STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28209-1786
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-420-0420
Provider Business Practice Location Address Fax Number:
866-308-6063
Provider Enumeration Date:
01/11/2021

Additional Information

Authorized Official

Authorized Official Last Name:
O'UHURU
Authorized Official First Name:
SAKINA
Authorized Official Middle Name:
Authorized Official Title or Position:
REGISTERED NURSE
Authorized Official Telephone Number:
704-420-0424

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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