=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073778940
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIRTH PARTNERS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/21/2008
-----------------------------------------------------
Last Update Date | 07/21/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 180 CHURCH ST SUITE 7
-----------------------------------------------------
City | NAUGATUCK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06770-4144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-729-9963
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 180 CHURCH ST SUITE 7
-----------------------------------------------------
City | NAUGATUCK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06770-4144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-729-9963
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND FOUNDER
-----------------------------------------------------
Name | MS. JANET S HALL
-----------------------------------------------------
Credential | CD
-----------------------------------------------------
Telephone | 203-729-9963
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------