Provider Demographics
NPI:1295601565
Name:ANCHOR AND BLOOM DOULAS
Entity type:Organization
Organization Name:ANCHOR AND BLOOM DOULAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGHOLIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-919-0152
Mailing Address - Street 1:1290 DRAKE DR
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-4216
Mailing Address - Country:US
Mailing Address - Phone:818-919-0152
Mailing Address - Fax:
Practice Address - Street 1:1290 DRAKE DR
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-4216
Practice Address - Country:US
Practice Address - Phone:818-919-0152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care