Healthcare Provider Details
I. General information
NPI: 1093641649
Provider Name (Legal Business Name): SOLHAVEN BIRTH CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1691 LOR RAY DRIVE
NORTH MANKATO MN
56003-2804
US
IV. Provider business mailing address
40 WOODVIEW DR
MANKATO MN
56001-8985
US
V. Phone/Fax
- Phone: 507-351-9732
- Fax:
- Phone: 507-351-9732
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QB0400X |
| Taxonomy | Birthing Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
ELIZABETH
BARBOSA
Title or Position: OWNER/PRESIDENT
Credential: CPM, LTM
Phone: 507-382-4965