Healthcare Provider Details

I. General information

NPI: 1528799624
Provider Name (Legal Business Name): AHIMSA CHILDBIRTH SERVICES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 CAPITAL AVE APT 102
MOORESVILLE NC
28117-5635
US

IV. Provider business mailing address

156 CAPITAL AVE APT 102
MOORESVILLE NC
28117-5635
US

V. Phone/Fax

Practice location:
  • Phone: 862-621-3988
  • Fax:
Mailing address:
  • Phone: 862-621-3988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: JAEDA SYKES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 862-621-3988