MEDICARE: JOURNEY HOME BIRTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1447110945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY HOME BIRTH SERVICES LLC

Provider Business Mailing Address
First Line	:	645 ARCH DR
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-5801
Country	:	US
Telephone Number	:	803-322-4134
Fax Number	:	839-868-3008

Provider Business Practice Location Address
First Line	:	2211 MYERS ST
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-2234
Country	:	US
Telephone Number	:	803-322-4134
Fax Number	:	839-868-3008

Authorized Official
Title or Position	:	MIDWIFE
Name	:	MERELEE J BECK
Credential	:	LM,CPM
Telephone Number	:	803-322-4134

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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