Healthcare Provider Details

I. General information

NPI: 1811500044
Provider Name (Legal Business Name): HOME SWEET BIRTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2020
Last Update Date: 08/27/2020
Certification Date: 08/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4513 MCGILL TER
HOOVER AL
35226-6382
US

IV. Provider business mailing address

4513 MCGILL TER
HOOVER AL
35226-6382
US

V. Phone/Fax

Practice location:
  • Phone: 443-536-2025
  • Fax: 205-719-4140
Mailing address:
  • Phone: 443-536-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JO CRAWFORD
Title or Position: DIRECCTOR
Credential: CPM
Phone: 443-536-2025