NPI Code Details Logo

NPI 1215702428

NPI 1215702428 : SNUGGLE HOUSE FOUNDATION : MAPLE GROVE, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1215702428
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SNUGGLE HOUSE FOUNDATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/17/2023
-----------------------------------------------------
    Last Update Date     |    02/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9167 LARCH LN N 
-----------------------------------------------------
    City                 |    MAPLE GROVE
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55369-3973
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    612-469-3180
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    575 SE NINTH ST SUITE 52
-----------------------------------------------------
    City                 |    MINNEAPOLIS
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    55414
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER, HEAD OF CHAIR
-----------------------------------------------------
    Name                 |     JERRIAH  WILLIAMS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    612-469-3180
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    176B00000X
-----------------------------------------------------
    Taxonomy Name        |    Midwife
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    374J00000X
-----------------------------------------------------
    Taxonomy Name        |    Doula
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QF0050X
-----------------------------------------------------
    Taxonomy Name        |    Non-Surgical Family Planning Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.