Healthcare Provider Details

I. General information

NPI: 1700305158
Provider Name (Legal Business Name): WELCOME HOME MIDWIFERY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 09/02/2025
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2541 28TH ST #4
SACRAMENTO CA
95818
US

IV. Provider business mailing address

PMB 302, 5960 SOUTH LAND PARK DRIVE
SACRAMENTO CA
95822
US

V. Phone/Fax

Practice location:
  • Phone: 916-668-9467
  • Fax: 209-336-6814
Mailing address:
  • Phone: 916-668-9467
  • Fax: 209-336-6814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateNULL

VIII. Authorized Official

Name: MADELEINE JUSTINE WISNER
Title or Position: LICENSED MIDWIFE
Credential: LM
Phone: 916-668-9467