Healthcare Provider Details

I. General information

NPI: 1891671129
Provider Name (Legal Business Name): MIDWIFERY CARE FOR ALL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 FOREST LAKE DR
JACKSON MI
49203-5508
US

IV. Provider business mailing address

2732 FOREST LAKE DR
JACKSON MI
49203-5508
US

V. Phone/Fax

Practice location:
  • Phone: 517-250-7986
  • Fax: 517-246-5787
Mailing address:
  • Phone: 517-250-7986
  • Fax: 517-246-5787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: OSHA SHATAR HUMPHREY
Title or Position: CERTIFIED NURSE MIDWIFE
Credential:
Phone: 517-250-7986