MEDICARE: IYAMI & GRACE MATERNAL HEALTH FOUNDATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	163WL0100X	Lactation Consultant (Registered Nurse)
2	163WM0102X	Maternal Newborn Registered Nurse
3	364SH0200X	Home Health Clinical Nurse Specialist
4	174400000X	Specialist

General Provider Information

NPI Number	:	1841126927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IYAMI & GRACE MATERNAL HEALTH FOUNDATION LLC

Provider Business Mailing Address
First Line	:	225 WARWICK AVE APT A
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-2916
Country	:	US
Telephone Number	:	574-378-0612
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 WARWICK AVE APT A
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45013-2916
Country	:	US
Telephone Number	:	574-378-0612
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KEYSHA BRITTON
Credential	:	RN, BSN, LS
Telephone Number	:	574-378-0612

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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