Healthcare Provider Details

I. General information

NPI: 1154256428
Provider Name (Legal Business Name): SACRED WOMB FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 FRIENDSHIP VILLAGE DR
HARRINGTON DE
19952-3292
US

IV. Provider business mailing address

610 FRIENDSHIP VILLAGE DR
HARRINGTON DE
19952-3292
US

V. Phone/Fax

Practice location:
  • Phone: 210-440-7479
  • Fax:
Mailing address:
  • Phone: 210-440-7479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DIAMOND GREATHOUSE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 210-440-7479