Healthcare Provider Details

I. General information

NPI: 1639067168
Provider Name (Legal Business Name): ANGELS BIRTHING CENTER SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1832 KEMPSVILLE RD STE 110
VIRGINIA BEACH VA
23464-6900
US

IV. Provider business mailing address

1420 LUDLOW DR
VIRGINIA BEACH VA
23456-5400
US

V. Phone/Fax

Practice location:
  • Phone: 757-296-3458
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: JAHLAI ERGUS
Title or Position: CEO
Credential:
Phone: 757-296-3458